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What is Dyspepsia?

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.
Causes of dyspepsia
Organic dyspepsia
Functional dyspepsia
Organic causes of dyspepsia
  • Peptic oesophagitis
  • Peptic ulcer
  • Upper GI malignancy
  • Hepatobiliary disease
  • C/c pancreatitis
  • Other system disorders - CRF, CHF etc.
  • Drugs - NSAID, corticosteroids
  • Alcoholism, pregnancy
Functional dyspepsia [nonulcer dyspepsiaI
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.