Dyspepsia is a term to denote a variety of alimentary symptoms arising form upper gastrointestinal tract.
Symptoms includes
- Upper abdominal pain ± related to food
- Heart burn, regurgitation, water brash
- Anorexia, nausea, vomiting
- Early repletion and satiety after meals
- Flatulence, belching and bloating.
- Organic dyspepsia
- Functional dyspepsia
- Peptic oesophagitis
- Peptic ulcer
- Upper gastrointestinal malignancy
- Hepatobiliary disease
- Chronic pancreatitis
- Other system disorders - chronic renal failure, Congestiveheart etc.
- Drugs - NSAID, corticosteroids
- Alcoholism, pregnancy
It is due to motor dysfunction of upper gastrointestinal tract mediated by neurohumoral mechanism
What are the alarm features in Dyspepsia
- Weight loss
- Anemia
- Vomiting
- Hematemesis
- Melaena
- Dysphagia
- Palpable abdominal mass.
