Chronic dyspepsia pain in general practice - its causes and diagnosis

B. G. Gazzard, P. Lance, S. Gibson-Glubb, J. A. Gazzard

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

One hundred consecutive patients who had consulted their general practitioner because of upper abdominal pain related to eating, were investigated after initial interviews by the general practitioner, a medical registrarand the same consultant physician. Thirty seven had active upper gastrointestinal or biliary tract diseases, including 29 with peptic ulcers. The general practitioner and consultant correctly distinguished between organic andnon-organic dyspepsia (NOD) in 51 and 65 cases respectively. Although the sensitivity of the general practitioner diagnosis of organic disease was high (95%), the specificity (23%) and predictive value (42%) were low. There were fewer organic diagnoses amongst the patients under the age of 30 (P<0.05) and those with symptoms for less than 3 months (P<0.01). No patient under 30 with symptoms for less than 3 months had organic dyspepsia. We suggestthat if dyspeptic patients over the age of 30 and those under 30 with symptoms for longer than 3 months are investigated, about one-third will be found to have organic diseases.

Original languageEnglish (US)
Pages (from-to)411-413
Number of pages3
JournalPostgraduate Medical Journal
Volume61
Issue number715
DOIs
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Medicine(all)

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