Etiological evaluation of patients who present to the emergency department with dyspeptic complaints

Abstract

Background and Aims: Dyspepsia is a combination of symptoms that consists of bloating, pain, burning, early satiety, nausea, and burping. Patients with dyspeptic complaints frequently present to emergency departments. This situation increases the workload in emergency departments and causes high insurance costs. This study aims to investigate the causes of the increase in dyspeptic complaints of patients who present to emergency departments. Materials and Methods: This study was conducted as a prospective observational study from March to June 2019 with patients who presented to an emergency department with dyspeptic complaints. All data was acquired using faceto-face questionnaire after required explanations were provided to the patients. This study included 386 volunteers who were over the age of 18 years. Results: The mean age of the patients was 41.08 ± 18.33 years, 65.8% (n = 254) were women and 34.19% (n = 132) were men. It was observed that 52.6% (n = 203) of the patients with dyspeptic complaints had presented to the emergency department previously, while 47.4% (n = 183) presented for the first time. It was also observed that female patients (61.8%) who presented to the emergency department with dyspeptic complaints had more stress factors than men (30.3%). There was a statistically significant correlation between whether the presenting patients had a new stress factor or not (p = 0.000). Studies revealed that male patients who presented to the emergency department with dyspeptic complaints consumed more bitter, sour, and salty foods than women. Men with a smoking history were more often identified at the emergency department with dyspeptic complaints. Findings also revealed that patients over the age of 65 years present at the emergency department more often than other age groups after drug intake. Conclusion: In this study, we found that dyspeptic complaints increased with stress factors in females, smoking and dietary habits in males, side effects of medicine in the geriatric age group, and acidic beverage consumption in young people. Therefore, providing information on issues involving the required lifestyle changes in patients with dyspeptic complaints is necessary to reduce the number of presentations at emergency departments and complaints among patients across both genders and all age groups due to dyspepsia.

The Effect of Swallowing Anxiety on Gastroscopy Time and Sedation Type and Its Relationship with Health Literacy

“…Dyspepsia is a digestive disorder known as indigestion; symptoms manifest as upper abdominal fullness, heartburn, nausea, belching or upper abdominal pain (1). According to studies in the literature, the prevalence of dyspepsia is between 17% and 57%; Dyspepsia was found to be more common in women, smokers, users of nonsteroidal anti-inflammatory drugs, and Helicobacter pylori positive individuals.…”