We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
PRISTUP BOLESNIKU S DISPEPSIJOM U OBITELJSKOJ MEDICINI.
- Authors
DIMINIĆ-LISICA, INES; MARKOVIĆ, BISERKA BERGMAN; BUKMIR, LEONARDO; MARKOVIĆ, NINA BAŠIĆ; QUADRANTI, NIVES RADOŠEVIĆ; LISICA, IVA
- 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 signifi- cantly 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.
- Publication
Acta Medica Croatica, 2015, Vol 69, Issue 4, p271
- ISSN
1330-0164
- Publication type
Article