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</p> Signup and view all the answers

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

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

    Which condition may dyspeptic symptoms possibly be confused with?

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

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

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

    What is the main symptom associated with anal fissures?

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

    Which condition is usually accompanied by a history of constipation?

    <p>Haemorrhoids</p> Signup and view all the answers

    What medication is recommended for children with anal fissures?

    <p>Lactulose</p> Signup and view all the answers

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

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

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

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

    What is a common symptom associated with anal fissures?

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

    Which medication is recommended for children with anal fissures?

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

    What is a possible complication of anal fissures?

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

    Which general measure is advised for individuals with haemorrhoids?

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

    What is a common symptom experienced by patients with haemorrhoids?

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

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

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

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

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

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