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Diagnostic Tests for Dyspepsia

Diagnostic Test list for Dyspepsia:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Dyspepsia includes:

  • Physical examination
    • Look for evidence of anemia - e.g. pale skin and conjunctiva - may suggest chronic oesophagitis, chronic gastritis, peptic ulcer or stomach cancer.
    • Look for evidence of jaundice - e.g. yellows skin and sclera of eyes - may suggest gallstones that pass into common bile duct or cancer of the pancreas.
    • Abdominal examination for tenderness - e.g. tenderness in epigastric area (midline below ribs) may suggest peptic ulceration; tenderness over the right upper abdomen may suggest gall bladder disease.
    • Abdominal examination for mass - e.g. epigastric mass may suggest stomach cancer.
  • Blood tests
    • Full blood count and ESR
    • Iron studies
    • Electrolytes and renal function (especially if persistent vomiting as renal failure can present with dyspepsia and vomiting)
    • Liver function tests
    • Helicobacter pylori serology (to test for presence of bacteria that is now accepted to cause duodenal ulcers, but does not distinguish fro past or present infection)
    • Gastrin levels - if multiple peptic ulcers to help diagnose Zollinger-Ellison syndrome.
    • Tumor markers including Carcinoembryonic antigen (for bowel cancer) and alphafetoprotein (for hepatoma)
  • Stool occult blood test - may be positive with peptic ulcer, oesophagitis, stomach cancer.
  • Exercise ECG - may be required to rule out ischemic heart disease.
  • Radiological investigations
    • Abdominal ultrasound scan - can give information about the liver, bile ducts, pancreas, kidneys. This is the best test for gallstones.
    • CT Scan abdomen if ultrasound suggests pathology but undefined
    • HIDA scan can exclude an obstructed bile duct
    • Barium swallow and barium meal can diagnose esophageal motility disorders and obstruction of the upper gastrointestinal tract
    • Scintographic gastric-emptying studies may help to diagnose delayed gastric emptying e.g. in diabetes
  • Urea breath test - test of choice for following the response to treatment of Helicobacter pylori.
  • Upper gastrointestinal endoscopy (with biopsy of mass if found and for Helicobacter pylori) - may be required to diagnose peptic ulcers, stomach cancer.
  • ERCP - if jaundiced.
  • Manometry studies may be useful if investigating difficulty with swallowing
  • Physical exam
  • X-rays
  • Endoscopy

Home Diagnostic Testing

These home medical tests may be relevant to Dyspepsia causes:

Conditions listing medical symptoms: Dyspepsia:

The following list of conditions have 'Dyspepsia' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Dyspepsia or choose View All.

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