PPT-Dyspepsia: an underestimated problem among end-stage renal disease patients

Paulo Santos Federal University of Ceará Brazil Highly prevalent Great impact on quality of life Prevalence In the literature between 50 and. Paulo Santos. Federal . University. . of. Ceará, . Brazil. Highly. . prevalent. Great . impact. . on. . quality. . of. . life. Prevalence. In . the. . literature. :. between. . 50%. . and. Paulo Santos. Federal . University. . of. Ceará, . Brazil. Highly. . prevalent. Great . impact. . on. . quality. . of. . life. Prevalence. In . the. . literature. :. between. . 50%. . and. Sharondeep. Gill. Overview. Chronic Kidney Disease. History. Examination. Fistula. Cases. Clinical Topics. Summary. CKD. CKD. GFR <60 for >3 months. Renal failure: GFR<15 or need for dialysis/transplant. Dr.Azam. . teimouri. Gastroenterologist. Assistant . professr. of Isfahan medical university. DEFINITION: .  . According to the Rome III criteria, dyspepsia is defined as one or more of the following symptoms :. P. ostprandial . fullness, early satiation, . epigastric. pain, or burning. Alarm features in dyspepsia. Age older than 55 years with new-onset dyspepsia . Family history of upper gastrointestinal cancer Unintended weight loss . 2015. Treatment of Hepatitis C in Patients with Renal Insufficiency. Robert G. Gish MD. Professor Consultant, Stanford University Medical Center. Senior Medical Director, St Josephs Hospital and Medical Center, Liver Program, Phoenix, Arizona. Case2. A . 44-year. -old man presents with a history of frequent epigastric pain for the past month that is burning in nature.He notes it is . relieved after eating a meal or. . drinking milk. . He has . Persistent or . recurrent pain or discomfort centered in the upper abdomen. . Not all . patients with dyspepsia have peptic . ulcer. . The most . common causes . of dyspepsia are . -. non-ulcer . or functional . & Dental . consideration . Chronic Kidney Disease is defined as structural or functional abnormalities of the kidney, with or without decreased GFR, manifested by pathological abnormalities or markers of kidney damage, including abnormalities in the composition of the blood or urine or abnormalities in imaging tests. . nephrologists and the increasing numberofpatients with kidney disease,portions urgical procedures are fre-quently necessary in patientsith chronic kidney diseasewho are not yet undergoingdialysis and Approach to A Patient with Introduction Dyspepsia describes symptoms such as discomfort, bloating, nausea, which are thought to originate from the upper gastrointestinal tract. Introdu LOUISIANA MEDICAID PROGRAMISSUED:01/23/21REPLACED:02/01/12CHAPTER END STAGE RENAL DISEASE APPENDIX ACONTACT INFORMATIONPAGE(S) Contact InformationPage of Appendix A TYPE OF ASSISTANCE CONTACT INFORMA Red flags present Heartburn Undifferentiated dyspepsia (not investigated) yes no yes yes no no Refer for endoscopyEmpirical treatment with PPI or consider testing and treating for PPI and step-down Fu vol. 2 . Figure 1.1 Trends in the number of incident cases of ESRD, in thousands, by modality, in the U.S. population, 1980-2012. Vol. 2, ESRD, . Ch. 1. 2. Data Source: Reference tables A.2(2) and A.2(3). *Adjusted for age, sex, and race. The standard population was the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease..