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EvaluationandManagementofDyspepsia

TABLE2
QuestionstoAskWhenDeterminingCommonCausesofDyspepsia

Pepticulcers

Doesthepatienthaveapersonalhistoryofulcers?

Doesthepatienthaveastrongfamilyhistoryofulcers?

Doesthepatientreportmelena?

Isthepatientasmoker?

Gastroesophagealrefluxdisease

Doesthepatientcomplainofheartburnorsourbelches?

Aresymptomsworsewhenthepatientislyingdown?

Doesthepatienthaveachroniccoughorhoarseness?

Biliarytractdisease

Doesthepatientreportanyhistoryofjaundice?

Doesthepatientreportdarkurine?

Doespainoccuraftermeals?

Isthepainassociatedwithmealsorbelching?

Pancreatitis

Isthepainstabbing,anddoesitradiatetothepatient'sback?

Isthepainabrupt,isitunbearableinseverityanddoesitlastformanyhourswithoutrelief?

Doesthepatienthaveahistoryofheavyalcoholuse?

Cancer

Isthepatientover50yearsofage?

Hasthepatienthadarecentsignificantweightloss?

Doesthepatienthavetroubleswallowing?

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Hasthepatienthadrecentprotractedvomiting?

Doesthepatienthaveahistoryofmelena?

Isthepatientasmoker?

Irritablebowelsyndrome

Isdyspepsiaassociatedwithanincreaseinstoolfrequency?

Ispainrelievedbydefecation?

Metabolicdisorders

Doesthepatienthaveamedicalhistoryofdiabetesmellitus,hypothyroidismorhyperthyroidism,or
hyperparathyroidism?

Medications

Isthepatientcurrentlytakingmedicationscommonlyassociatedwithdyspepsia?

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