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Dyspepsia_Homoeopathic_Management_Colourful.pptx
- 1. FOSTER DEVELOPMENT’S HOMOEOPATHIC MEDICALCOLLEGE CHH. SAMBHAJINAGAR Seminar Topic: Dyspepsia Name : Vaishnavi Raju Hemke Roll No. - 23 Guided by : Dr. Pratibha Gadhe
- 2. Dyspepsia isa common symptom with an extensive differential diagnosis and a heterogeneous pathophysiology. It occurs in approximately 25 percent of the population each year, but most affected people do not seek medical care Although dyspepsia does not affect survival, it is responsible for substantial health care costs and significantly affects quality of life Introduction
- 3. Dyspepsia describesa wide and common clinical entity which presents in one of the three ways: 1. Epigastric pain/burning (epigastric pain syndrome) 2. 2. Postprandial fullness 3. 3. Early satiety Definition
- 4. Dyspepsia Secondaryto Organic Disease Peptic ulcer disease Gastroesophageal reflux Gastroesophageal Malignancy Drug induced dyspepsia:NSAIDs Other causes: Like crohn’s disease, Chronic Pancreatitis Functional dyspepsia Etiology
- 5. Upper abdominalpain or discomfort is the most prominent symptom in patients with peptic ulcers While classic symptoms of duodenal ulcer occur when acid is secreted in the absence of a food buffer (i.e, two to five hours after meals or on an empty stomach), peptic ulcers can be associated with food-provoked symptoms Peptic ulcers can also be associated with postprandial belching, epigastric fullness, early satiation, fatty food intolerance, nausea, and occasional vomiting Peptic ulcer disease(PUD)
- 6. The mostcommon symptoms of gastroesophageal reflux disease (GERD) are retrosternal burning pain and regurgitation GERD should be suspected when these symptoms accompany dyspepsia and are the predominant complaints Gastroesophageal reflux disease(GERD)
- 7. Uncommon causeof chronic dyspepsia The incidence of malignancy also increases with age. When present, abdominal pain tends to be epigastric, vague and mild early in the disease but more severe and constant as the disease progresses Gastroesophageal Malignancy
- 8. Classic biliarypain is characterized by episodic acute and severe upper abdominal pain, usually in the epigastrium or right upper quadrant The pain typically lasts for at least one hour and may persist for several hours. The pain may radiate to the back or scapula Biliary pain
- 9. Functional (idiopathicor nonulcer) dyspepsia is defined as the presence of one or more of the following: postprandial fullness, early satiation, epigastric pain or burning, and no evidence of structural disease to explain the symptoms Functional dyspepsia
- 10. A history,physical examination, and laboratory evaluation are the first steps in the evaluation of a patient with new onset of dyspepsia A detailed history is necessary to narrow the differential diagnosis and to identify GERD and NSAID-induced dyspepsia, as well as patients with alarm features Initial Evaluation
- 11. A dominanthistory ofheartburn,regurgitation, or cough is suggestive of GERD NSAID use raises the possibility of NSAID dyspepsia and peptic ulcer disease Significant weight loss, anorexia, vomiting, dysphagia, odynophagia, and a family history of gastrointestinal cancers suggest the presence of an underlying malignancy The presence of severe episodic epigastric or right upper quadrant abdominal pain lasting more than an hour or pain that occurs at any time is suggestive of symptomatic cholelithiasis History…
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- 13. The physicalexamination in patients with dyspepsia is usually normal, except for epigastric tenderness Other findings on physical examination may include: a palpable abdominal mass (eg, hepatoma) or lymphadenopathy (eg, left supraclavicular or periumbilical in gastric cancer), jaundice (eg, secondary to liver metastasis) or pallor secondary to anemia Physical Examination…
- 15. CBC H.Pylori test- IgG serology or stool antigen or 13C-urea test stool for occult blood-when indicated Liver enzymes Upper GI Endoscopy when indicated Investigation
- 16. Patients with alarmfeatures: Upper GI endoscopy: Upper endoscopy provides a gold standard for establishing a specific cause in patients with upper abdominal pain. Biopsies of the stomach should be obtained to rule out Helicobacter pylori . Patients with H. pylori should receive eradication therapy in addition to treatment based on the underlying diagnosis Diagnostic strategies and Initial Mangement
- 17. Patients with noalarm features: Test for H.Pylori: If evidence of H.pylori infection: Eradication therapy If no evidence of of H.Pylori: Treat with anti acid secretary agents: PPIs Diagnostic…
- 18. Triple therapy •Omeprazole+ Amoxicillin+ Clarithromycin • BSS+ Metronidazole+ TTC Quadruple therapy • Omeprazole+ BSS+ Metronidazole+ TTC Eradication Therapy for H.Pylori
- 19. Indicated Remedies : Nux vomica Carbo Vegetabilis Pulsatilla Lycopodium China Officinalis Homeopathic management:
- 20. 1.Nux Vomica Dyspepsia dueto sedentary life, stress, overwork After excessive spicy food, alcohol, coffee Sour eructations, nausea, ineffectual urging Heaviness in stomach after eating little Aggravation: Morning, after eating Amelioration: After rest, warmth 2. Carbo Vegetabilis Weak digestion with excessive gas Burning in stomach, flatulence Feeling of fullness even after small meals Wants to loosen clothes Aggravation: Lying down, evening Amelioration: Eructations, fresh air
- 21. 3. Pulsatilla Dyspepsia fromfatty, rich food Bitter taste, nausea, no thirst Changeable symptoms Mild, emotional patients Aggravation: Evening, warm room Amelioration: Open air 4. Lycopodium Distension of abdomen after eating Hunger but gets full quickly 4–8 pm aggravation Right-sided complaints Aggravation: Evening (4–8 pm) Amelioration: Warm food, hot drinks
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