Abdominal Cramp-like Pains and Dyspepsia in Adults

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22 Questions

What is a common cause of dyspepsia, heartburn, and indigestion in adults?

Smoking

Which medication is recommended for adults experiencing abdominal cramp-like pains?

Lansoprazole, oral, 30 mg daily

What is a general measure recommended for individuals with dyspepsia, heartburn, and indigestion?

Check haemoglobin levels

What should be done if there is no response within 7 days of starting proton-pump inhibitor therapy treatment?

Refer the patient for further evaluation

Which symptom indicates the need for referral when treating dyspepsia, heartburn, and indigestion?

Persistent vomiting

Which condition may dyspeptic symptoms possibly be confused with?

Acute coronary syndrome

What should be done if symptoms of dyspepsia reoccur after a 14-day course of therapy with lansoprazole?

Refer the patient for further evaluation

'Red currant jelly stools' are associated with which condition?

Acute appendicitis

What is the main symptom associated with anal fissures?

Rectal bleeding

Which condition is usually accompanied by a history of constipation?

Haemorrhoids

What medication is recommended for children with anal fissures?

Lactulose

What does the presence of a sentinel pile or external haemorrhoids indicate?

Anal fissures

What is the initial dosing recommendation for adult patients with anal fissures using lactulose?

10–20 mL once daily

Why should older patients with haemorrhoids also be considered for an underlying carcinoma diagnosis?

To rule out serious underlying conditions

What is a common general measure recommended for individuals with haemorrhoids?

High-fibre diet

What is a common symptom associated with anal fissures?

Rectal itching

Which medication is recommended for children with anal fissures?

Oral lactulose

What is a possible complication of anal fissures?

Rectal bleeding

Which general measure is advised for individuals with haemorrhoids?

Counsel against chronic use of laxatives

What is a common symptom experienced by patients with haemorrhoids?

Bleeding on defecation

What is the recommended medication for symptomatic treatment of painful hemorrhoids?

Bismuth subgallate compound, ointment

What could be a possible condition to consider in older patients with hemorrhoids?

Underlying carcinoma

Learn about the management of abdominal cramp-like pains in adults using Hyoscine butylbromide and the common conditions of dyspepsia, heartburn, and indigestion. Understand the referral criteria for severe pain, signs of acute abdomen, bloody non-diarrhoeal stools, and abdominal mass.

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