What questions should you ask a patient with Dyspepsia?

"Be kind to your stomach" - NARA - 5...
(Photo credit: Wikipedia)

Inquire about the following when a patient presents to you with dyspepsia:

  • Duration.
  • Severity.
  • Frequency.
  • Relationship to meals.
  • Previous similar episodes.
  • Aggravating or Relieving factors
  • Is he or she experiencing too much stress or anxiety?
  • Does he or she lie down right after taking a meal or sometime after it?
  • Associated symptoms such as vomiting, nausea, melena, haematemesis, chest pain, cough, belching, constipation, excessive wind, etc.
  • Is he or she taking any drugs at the moment? (especially NSAIDs).
  • Any history of cardiac, pulmonary or renal disease?
  • Any changes in the frequency, amount or color of urine?
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