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Dyspepsia

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Dyspepsia: Symptoms of GI Disorders: Merck Manual Professional > SEE ALL MERCK MANUALS Page 1 of 5 SEARCH Merck Manual > Health Care Professionals > Gastrointestinal Disorders > Symptoms of GI Disorders These search terms have been highlighted dyspepsia Dyspepsia Dyspepsia: A Merck Manual of Patient Symptoms podcast Dyspepsia is a sensation of pain or discomfort in the upper abdomen; it often is recurrent. It may be described as indigestion, gassiness, early satiety, postprandial fullness, gnawing, or burning. Etiology There are several common causes of dyspepsia (Table 2: Some Causes of Dyspepsia ). Table 2 Some Causes of Dyspepsia Cause Achalasia Suggestive Findings Diagnostic Approach Slowly progressive dysphagia Barium swallow Early satiety, nausea, vomiting, bloating, and symptoms that are worsened by food Esophageal manometry Endoscopy Sometimes nocturnal regurgitation of undigested food Chest discomfort Cancer (eg, esophageal, gastric) Chronic, vague discomfort Upper endoscopy Later, dysphagia (esophageal) or early satiety (gastric) Weight loss Coronary ischemia Symptoms described as gas or indigestion rather than chest pain by some patients May have exertional component ECG Serum cardiac markers Sometimes stress testing Cardiac risk factors http://www.merckmanuals.com/professional/gastrointestinal_disorders/symptoms_of_gi_d... 2/12/2015 Dyspepsia: Symptoms of GI Disorders: Merck Manual Professional Delayed gastric emptying (caused by diabetes ...
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