FEATURES OF DIAGNOSIS AND TREATMENT OF A PATIENT WITH FUNCTIONAL DYSPEPSIA ON THE EXAMPLE OF CLINICAL CASE

PUMTS. 2021; 42(2): 60-63.
https://doi.org/10.31071/promedosvity2021.02.060

Today, the diagnosis of functional dyspepsia is quite common and is very common in the practice of a physician, family doctor and gastroenterologist. Functional dyspepsia is the presence of symptoms in the gastroduodenal area without the presence of organic, systemic or metabolic disorders. This condition is defined as a feeling of discomfort and pain in the epigastric region in the absence of symptoms of reflux. Symptoms of dyspepsia are found in many patients, but not all of them seek medical attention. To date, the issues of etiology and pathogenesis remain unexplored. But much of the role is given to genetic factors, the polymorphism of some genes. Lifestyle, eating fatty, fried, spicy foods, smoking, drinking alcohol, infections, and psychogenic factors are also likely to be important. These factors include the characteristics of the patient’s character, the presence of chronic stress, psychological states accompanied by depression, anxi-ety and others. Patients with functional dyspepsia have the following complaints: epigastric pain, early satiety, burning in the epigastrium, postprandial overflow. But keep in mind that this diagnosis is an exclusion diagnosis. That is, it is necessary to make sure that the patient has no symptoms of anxiety (progressive dysphagia, unmotivated weight loss, anemia, fever, etc.), that the patient does not take nonsteroidal anti-inflammatory drugs, no Helicobacter pylori infection, endoscopy, which revealed no abnormalities. Patients with prolonged symptoms should be excluded from the psychological connection with the disease or the possible presence of food intolerance.

REFERENCES
  1. Ralston, S. H., Penman, I. D., Strachan, M. W., & Hobson, R. (Eds.). (2018). Davidson’s Principles and Practice of Medicine E-Book. Elsevier Health Sciences.
  2. Sharma, A., Schauer, D. P., Kelleher, M., Kinnear, B., Sall, D., & Warm, E. (2019). USMLE Step 2 CK: best predictor of multimodal performance in an internal medicine residency. Journal of graduate medical education, 11(4), 412.
  3. Beeckmans, D., Farré, R., Riethorst, D., Keita, A. V., Augustijns, P., & Söderholm, J. D., et al. (2020). Relationship between bile salts, bacterial translocation, and duodenal mucosal integrity in functional dyspepsia. Neurogastroenterology & Motility, 32(5), e13788.
  4. Vanheel, H., Carbone, F., Valvekens, L., Simren, M., Tornblom, H., & Vanuytsel, T., et al. (2017). Pathophysiological abnormalities in functional dyspepsia subgroups
    according to the Rome III criteria. American Journal of Gastroenterology, 112(1), 132–140.

  5. Masuy, I., Van Oudenhove, L., & Tack, J. (2019). treatment options for functional dyspepsia. Alimentary pharmacology & therapeutics, 49(9), 1134–1172.
  6. Wauters, L., Talley, N. J., Walker, M. M., Tack, J., & Vanuytsel, T. (2020). Novel concepts in the pathophysiology and treatment of functional dyspepsia. Gut, 69(3), 591–600.
  7. Fallone, C. A., Chiba, N., van Zanten, S. V., Fischbach, L., Gisbert, J. P., & Hunt, R. H., et al. (2016). The Toronto consensus for the treatment of Helicobacter pylori infection in adults. Gastroenterology, 151(1), 51–69.
  8. Vanheel, H., Carbone, F., Valvekens, L., Simren, M., Tornblom, H., & Vanuytsel, T., et al. (2017). Pathophysiological abnormalities in functional dyspepsia subgroups according to the Rome III criteria. American Journal of Gastroenterology, 112(1), 132–140.
  9. Nakagawa, K., Hara, K., Fikree, A., Siddiqi, S., Woodland, P., & Masamune, A., et al. (2020). Patients with dyspepsia have impaired mucosal integrity both in the duodenum and jejunum: in vivo assessment of small bowel mucosal integrity using baseline impedance. Journal of gastroenterology, 55(3), 273–280.
  10. Stanghellini, V., Chan, F. K., Hasler, W. L., Malagelada, J. R., Suzuki, H., Tack, J., & Talley, N. J. (2016). Gastroduodenal disorders. Gastroenterology, 150(6), 1380–1392.
  • Короткая ссылка на эту статью: http://promedosvity.in.ua?lang=en&p=7013

    Оставить комментарий

    You must be logged in to post a comment.