Archives of General Internal Medicine

Archives of General Internal Medicine 44 7897 074717

Dyspepsia Articles

Dyspepsia, often defined as chronic or recurrent discomfort centered in the upper abdomen, can be caused by a variety of conditions. Common etiologies include peptic ulcers and gastroesophageal reflux. Serious causes, such as gastric and pancreatic cancers, are rare but must also be considered. Symptoms may be causes frequently overlap, which could make primary diagnosis difficult. In several patients, a definite cause is ever established. The initial evaluation of patients with dyspepsia includes a thorough history and physical examination, with special attention given to elements that suggest the presence of serious disease. Endoscopy need to be performed immediately in patients who have “alarm symptoms” similar to melena or anorexia.

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