Dyspepsia

Question 1

Causes of organic dyspepsia

Answer 1

Peptic ulcer disease
Drugs (NSAIDs)
Gastric cancer

Question 2

Causes of functional dyspepsia

Answer 2

Idiopathic

No evidence of underlying cause

Question 3

Clinical features

Answer 3

Epigastric pain or burning
Fullness during/after a meal
Early satiety

Question 4

Alarming features

Answer 4

Dysphagia
GI blood loss
Persistent vomiting
Unintentional weight loss
Mass

Question 5

Management

Answer 5

No alarm features
- lifestyle advice
- antacids / H2RA 
If symptoms persist 
- H. Pylori test
If H. Pylori test -ve 
- over 55 manage with endoscopy
- under 55 manage as functional dyspepsia