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What indigestion means to the malays?
Yeong Yeh Lee1, Andrew Seng Boon Chua
1Department of Medicine, School of Medical Sciences, University Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Journal of Neurogastroenterology and Motility
|July 23, 2013
Summary
Dyspepsia is common in Malays, with functional disorders prevalent due to low Helicobacter pylori infection rates. Initial management of dyspepsia in Malays may benefit more from a proton pump inhibitor test than H. pylori testing.
Area of Science:
- Gastroenterology
- Epidemiology
- Primary Care Medicine
Background:
- Dyspepsia prevalence and characteristics in the Malay population are under-reported.
- Organic causes of dyspepsia are rare in Malays due to low Helicobacter pylori infection rates.
- Functional dyspepsia and irritable bowel syndrome are relatively common.
Purpose of the Study:
- To investigate the prevalence and characteristics of dyspepsia in the Malay population.
- To compare the effectiveness of initial management strategies for dyspepsia in Malays.
Main Methods:
- Population-based studies utilizing Rome II and Rome III criteria.
- Analysis of dyspepsia prevalence in urban and rural Malay communities.
- Evaluation of functional dyspepsia and irritable bowel syndrome in primary care and community settings.
Main Results:
- Uninvestigated dyspepsia affects 12.8% (urban) and 11.6% (rural) of Malays.
- Functional dyspepsia is diagnosed in 11.9% of Malays, with epigastric pain syndrome being common.
- Irritable bowel syndrome affects 10.9% of Malays, often overlapping with functional dyspepsia.
- Married Malay females show higher rates of functional dyspepsia and psychosocial symptoms.
Conclusions:
- Functional dyspepsia and irritable bowel syndrome are common in the Malay population.
- Proton pump inhibitor testing is suggested as a preferable initial management strategy over H. pylori testing for dyspepsia in Malays.
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