PPT-APPROACH IN THE DIAGNOSIS AND MANAGEMENT OF DYSPEPSIA & GERD

Department of Family amp Community Medicine UPPGH DYSPEPSIA Chronic or recurrent pain or discomfort centered in the upper abdomen in the absence of an organic disease such as peptic ulcer GI malignancy gastroesophageal reflux disease or pancreatitis . Dyspepsia is a common complaint among individuals seeking medical care as well as in general population Dyspepsia is diagnosed in presence of symptoms thought to originate from the gastroduodenal region early satiation postprandial fullness epigastr Leena Patel. 1/2/12. OVERVIEW. Statistics. Red . flags. Management. H-pylori testing and treatment. STATISTICS. 5% of adults/year consult. their GP . for dyspepsia symptoms. 1% will go on to have . endoscopy. 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. 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 . Gastro-Esophageal Reflux Disease. The condition of chronic, pathologic reflux of acidic stomach contents. Esophagus. Oropharynx. Larynx, even lungs . Leads to symptoms and/or mucosal damage. NERD. = symptoms without damage. PAEDIATRIC GASTROENTEROLOGIST. LPR. the retrograde flow of stomach content to the larynx and pharynx whereby this material comes in contact with the upper . aerodigestive. tract.. is associated with symptoms of laryngeal irritation such as throat clearing, coughing, and hoarseness. . Gastro esophageal reflux disease. (GERD). GERD. DEFINITION. EPIDEMIOLOGY. CAUSES. PATHOGENESIS. SIGNS &SYMPTOMS. COMPLICATIONS. DIAGNOSIS. TREATMENT. Definition. Montreal consensus . defined GERD as . 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 . 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 Gastroenterology Unit. Molinette Hospital. Turin, Italy. Department of Medical Sciences. University of Turin. Turin, Italy Referencesfrom the Spanish Scale measures. Rev Esp Enferm Dig 2017. In press 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 to . Make a . difference. . in . the. . learning. . environment. - a . fivestep. Method for . pupil. . council. . work. Pupil. . council. . work. . A . fivestep. . method. . developed. by May Olaug Horverak, Eva Carmen Jenssen & Gerd Martina Langeland.