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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 69 No. 4, 2015.

Review article

APPROACH TO A PATIENT WITH DYSPEPSIA IN FAMILY MEDICINE PRACTICE

INES DIMINIĆ-LISICA ; University of Rijeka School of Medicine, Department of Family Medicine, Rijeka, Croatia
BISERKA BERGMAN MARKOVIĆ ; University of Zagreb School of Medicine, Department of Family Medicine, Zagreb, Croatia
LEONARDO BUKMIR ; University of Rijeka School of Medicine, Department of Family Medicine, Rijeka, Croatia
NINA BAŠIĆ MARKOVIĆ ; Nina Bašić Marković Family Medicine Office, Rijeka, Hrvatska
NIVES RADOŠEVIĆ QUADRANTI ; Health Center of Primorje Gorski Kotar County, Rijeka, Croatia
IVA LISICA ; Health Center of Primorje Gorski Kotar County, Rijeka, Croatia

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Abstract

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.

Keywords

dyspepsia; family medicine; diagnostic evaluation; treatment

Hrčak ID:

154153

URI

https://hrcak.srce.hr/154153

Publication date:

12.3.2016.

Article data in other languages: croatian

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