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Diagnosing Dyspepsia: What Tests Do You Need?
Published: May 22, 2024
Diagnosing dyspepsia can involve various tests depending on your symptoms and age. Here's what you need to know about the evaluation process.
Initial Evaluation Steps
If you experience dyspepsia, the first step is a detailed history and physical examination. This helps identify any alarm features that might indicate a more serious condition. Blood tests may also be performed to rule out metabolic causes.
When is Endoscopy Needed?
For patients over 60, or those with alarm features like significant weight loss, an endoscopy is recommended. This procedure can help rule out conditions like peptic ulcers or cancer. In younger patients, endoscopy is more selective.
Tests for H. pylori
H. pylori is a bacterium that can cause ulcers and needs specific tests like a urea breath test or stool antigen assay. Identifying and treating H. pylori can relieve symptoms for some patients.
Frequently Asked Questions
No, it's mainly for those over 60 or with alarm features.
Symptoms like significant weight loss or persistent vomiting.
Urea breath test and stool antigen assay.
Yes, they help rule out metabolic causes.
Wrapping Up
Early diagnosis and appropriate testing can make managing dyspepsia easier.
References
- Talley NJ, Vakil NB, Moayyedi P. Evaluation of dyspepsia. Gastroenterology 2005; 129:1756.
- Malfertheiner P, Megraud F, O'Morain CA. Management of H. pylori infection. Gut 2012; 61:646.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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