Abdominal Cramp-like Pains and Dyspepsia in Adults

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Questions and Answers

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

  • Consuming dairy products
  • Smoking (correct)
  • Eating large meals frequently
  • Avoiding spicy foods

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

  • Simethicone, oral, 80 mg 4 times a day
  • Omeprazole, oral, 40 mg daily
  • Lansoprazole, oral, 30 mg daily (correct)
  • Famotidine, oral, 20 mg twice daily

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

  • Have large meals late at night
  • Increase alcohol intake
  • Smoke more cigarettes
  • Check haemoglobin levels (correct)

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

<p>Refer the patient for further evaluation (C)</p> Signup and view all the answers

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

<p>Persistent vomiting (A)</p> Signup and view all the answers

Which condition may dyspeptic symptoms possibly be confused with?

<p>Acute coronary syndrome (B)</p> Signup and view all the answers

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

<p>Refer the patient for further evaluation (A)</p> Signup and view all the answers

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

<p>Acute appendicitis (A)</p> Signup and view all the answers

What is the main symptom associated with anal fissures?

<p>Rectal bleeding (D)</p> Signup and view all the answers

Which condition is usually accompanied by a history of constipation?

<p>Haemorrhoids (D)</p> Signup and view all the answers

What medication is recommended for children with anal fissures?

<p>Lactulose (C)</p> Signup and view all the answers

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

<p>Anal fissures (A)</p> Signup and view all the answers

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

<p>10–20 mL once daily (A)</p> Signup and view all the answers

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

<p>To rule out serious underlying conditions (A)</p> Signup and view all the answers

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

<p>High-fibre diet (D)</p> Signup and view all the answers

What is a common symptom associated with anal fissures?

<p>Rectal itching (C)</p> Signup and view all the answers

Which medication is recommended for children with anal fissures?

<p>Oral lactulose (C)</p> Signup and view all the answers

What is a possible complication of anal fissures?

<p>Rectal bleeding (D)</p> Signup and view all the answers

Which general measure is advised for individuals with haemorrhoids?

<p>Counsel against chronic use of laxatives (D)</p> Signup and view all the answers

What is a common symptom experienced by patients with haemorrhoids?

<p>Bleeding on defecation (A)</p> Signup and view all the answers

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

<p>Bismuth subgallate compound, ointment (D)</p> Signup and view all the answers

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

<p>Underlying carcinoma (D)</p> Signup and view all the answers

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