Page 107 - Learnwell EVS
P. 107
3. Gastrointestinal disorders
Notes:
– A cetyls a licylic a cid (a s pirin ) a n d N S A I D (in d o m eta cin , ib upro fen , d iclo fen a c
etc) a re
co n tra -in d ica ted in pa tien ts s ufferin g fro m o r w ith a his to ry o f ulcers .
– O m epra zo le is a s effective PO a s IV .
Dyspepsia
3
Clinical features
E piga s t ric pa in o r d is co m fo rt fo llo w in g m ea ls , o ft en a cco m pa n ied b y
b lo a t in g,
s en s a tio n o f fulln es s a n d n a us ea . D ys peps ia is m o s t co m m o n ly fun ctio n a l,
lin ked w ith
s tres s a n d n o t lin ked to the q ua n tity o f ga s tric a cid (a n tia cid s a n d a n tiulcer
d rugs a re
in effective). R es o lutio n is us ua lly s po n ta n eo us .
Treatment
If the s ym pto m s pers is t, s ho rt term s ym pto m a tic trea tm en t m a y b e co n s id ered .
In a d ults :
metoclopramide PO (3 0 m g/ d a y in 3 d ivid ed d o s es given 6 ho urs a pa rt, 1 / 2 ho ur
b efo re
m ea ls , fo r 2 to 3 d a ys ) m a y b e helpful in ca s es o f n a us ea , vo m itin g, b lo a tin g,
etc.
hyoscine butylbromide PO (3 0 m g/ d a y in 3 d ivid ed d o s es , 1 / 2 ho ur b efo re m ea ls ,
fo r 2 to
3 d a ys ) m a y b e helpful in ca s es o f s pa s m o d ic pa in .
Note: co n s id er a n d t rea t po s s ib le in t es t in a l pa ra s it es ( t a en ia s is ,
a s ca ria s is ,
a n cylo s to m ia s is , gia rd ia s is , a m o eb ia s is ).
Notes:
– A cetyls a licylic a cid (a s pirin ) a n d N S A I D (in d o m eta cin , ib upro fen , d iclo fen a c
etc) a re
co n tra -in d ica ted in pa tien ts s ufferin g fro m o r w ith a his to ry o f ulcers .
– O m epra zo le is a s effective PO a s IV .
Dyspepsia
3
Clinical features
E piga s t ric pa in o r d is co m fo rt fo llo w in g m ea ls , o ft en a cco m pa n ied b y
b lo a t in g,
s en s a tio n o f fulln es s a n d n a us ea . D ys peps ia is m o s t co m m o n ly fun ctio n a l,
lin ked w ith
s tres s a n d n o t lin ked to the q ua n tity o f ga s tric a cid (a n tia cid s a n d a n tiulcer
d rugs a re
in effective). R es o lutio n is us ua lly s po n ta n eo us .
Treatment
If the s ym pto m s pers is t, s ho rt term s ym pto m a tic trea tm en t m a y b e co n s id ered .
In a d ults :
metoclopramide PO (3 0 m g/ d a y in 3 d ivid ed d o s es given 6 ho urs a pa rt, 1 / 2 ho ur
b efo re
m ea ls , fo r 2 to 3 d a ys ) m a y b e helpful in ca s es o f n a us ea , vo m itin g, b lo a tin g,
etc.
hyoscine butylbromide PO (3 0 m g/ d a y in 3 d ivid ed d o s es , 1 / 2 ho ur b efo re m ea ls ,
fo r 2 to
3 d a ys ) m a y b e helpful in ca s es o f s pa s m o d ic pa in .
Note: co n s id er a n d t rea t po s s ib le in t es t in a l pa ra s it es ( t a en ia s is ,
a s ca ria s is ,
a n cylo s to m ia s is , gia rd ia s is , a m o eb ia s is ).
