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Related Concept Videos

Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Peptic Ulcer Disease III: Clinical Manifestations and Complications01:25

Peptic Ulcer Disease III: Clinical Manifestations and Complications

Duodenal UlcersDuodenal ulcers are the most common form of peptic ulcer disease, presenting with chronic, intermittent epigastric pain. Pain typically appears 2–3 hours after meals, especially when the stomach is empty, often waking patients at night. It is characteristically relieved by food or antacids (“pain–food–relief”). Some patients remain asymptomatic until complications like bleeding or perforation emerge, particularly with NSAID or anticoagulant use.Gastric UlcersGastric ulcers share...
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease

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Functional dyspepsia today.

Maedica·2013
Same author

Polypectomy practices in a real life setting. Do we do enough for our patients? A review of 1061 colonoscopies.

Romanian journal of internal medicine = Revue roumaine de medecine interne·2012
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Updated: Jun 5, 2026

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
06:40

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

Published on: June 29, 2019

Functional dyspepsia: a pragmatic approach.

Roxana Giurcan1, T A Voiosu

  • 1Gastroenterology Department, "Colentina" Hospital, Bucharest, Romania. theodorv@b.astral.ro

Romanian Journal of Internal Medicine = Revue Roumaine De Medecine Interne
|December 25, 2010
PubMed
Summary

Functional dyspepsia, characterized by upper abdominal discomfort, stems from various causes like motility issues and H. pylori. Management includes testing or empirical treatment, with endoscopy considered for persistent symptoms.

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Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
06:46

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring

Published on: December 14, 2020

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Last Updated: Jun 5, 2026

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
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Published on: June 29, 2019

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
06:46

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring

Published on: December 14, 2020

Area of Science:

  • Gastroenterology
  • Internal Medicine

Background:

  • Functional dyspepsia (FD) presents with cardinal symptoms like postprandial fullness and epigastric pain.
  • Rome III criteria define FD by symptoms present for 3 months, with onset at least 6 months prior.
  • FD arises from multifactorial mechanisms including abnormal gastric motility, acid hypersensitivity, and Helicobacter pylori infection, not structural abnormalities.

Purpose of the Study:

  • To outline the diagnostic and management strategies for functional dyspepsia.
  • To discuss the role of investigations and therapeutic options for FD.

Main Methods:

  • Review of diagnostic criteria and pathophysiological mechanisms of FD.
  • Discussion of management approaches including test-and-treat strategies and empirical therapies.
  • Evaluation of the utility of endoscopy and pharmacological interventions.

Main Results:

  • Patients over 50 or with alarm symptoms require investigation for structural abnormalities.
  • Proton pump inhibitors are effective for regurgitation and epigastric burning.
  • Prokinetic agents accelerate gastric emptying, alleviating bloating and nausea.
  • Second-line treatments include low-dose tricyclic antidepressants and SSRIs.

Conclusions:

  • Initial endoscopy may be logical given symptom relapse rates after therapy discontinuation.
  • Management should be tailored to specific symptoms and underlying mechanisms.
  • A combination of pharmacological and potentially endoscopic approaches can improve FD management.