Pregledni rad

APPROACH TO A PATIENT WITH DYSPEPSIA IN FAMILY MEDICINE PRACTICE

INES DIMINIĆ-LISICA ; Sveučilište u Rijeci, Medicinski fakultet, Katedra za obiteljsku medicinu, Rijeka, Hrvatska
BISERKA BERGMAN MARKOVIĆ ; Sveučilište u Zagrebu, Medicinski fakultet, Katedra za obiteljsku medicinu, Zagreb, Hrvatska
LEONARDO BUKMIR ; Sveučilište u Rijeci, Medicinski fakultet, Katedra za obiteljsku medicinu, Rijeka, Hrvatska
NINA BAŠIĆ MARKOVIĆ ; Specijalistička ordinacija obiteljske medicine Nina Bašić-Marković, Rijeka, Hrvatska
NIVES RADOŠEVIĆ QUADRANTI ; Dom zdravlja Primorsko goranske županije, Rijeka, Hrvatska
IVA LISICA ; Dom zdravlja Primorsko goranske županije, Rijeka, Hrvatska

Sažetak

Dyspepsia is a common symptom among patients in family medicine practice. The prevalence in adult population is about 40%. Two-thirds of patients have functional dyspepsia. Clinical assessment, diagnostic procedures and treatment of patients depend on the age, symptoms and Helicobacter pylori infection. In patients with dyspepsia, it is necessary to assess the potential impact of other concurrent diseases and medications that the patient regularly uses. Prompt or early endoscopy is recommended in patients with newly detected dyspepsia older than 50 and presenting with alarming symptoms. In persons younger than 50, the recommended strategy is ‘test and treat’. In some patients, treatment is carried out by acid suppression. In patients failing to achieve success in treatment, further endoscopic diagnosis is indicated. Ultrasound diagnostics in primary care can significantly contribute to diagnostic evaluation and early treatment in patients with hepatobiliary and pancreas diseases presenting with symptoms of dyspepsia. Treatment of concurrent mental disorders can improve the symptoms of dyspepsia. Treatment of patients who do not respond to the recommended treatment strategies is a challenge for family physicians. Regular visits and psychotherapeutic support in these patients can reduce the level of anxiety and encourage the patient for treatment of psychological morbidity, as well as his efforts in healthy behavior.

Ključne riječi

dyspepsia; family medicine; diagnostic evaluation; treatment

Hrčak ID:

154153

URI

https://hrcak.srce.hr/154153

Datum izdavanja:

12.3.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 3.247 *