Chronic Dyspepsia in Iraqi Patients: Types, Causes and Common Presentations


background: Dyspepsia is a common problem in the outpatient clinic. The clinical presentation is variable, and often chronic.Aims: is to find the proportions of organic and functional dyspepsia, the causes of organic dyspepsia, and the most common presentation of each type of dyspepsia.Methodology: From January 2013 to July 2014, the types, causes, and common presentations of chronic dyspepsia were studied clinically and endoscopically in 116 patients (Male=68, Female=48) at the outpatient clinic in Al-Hindeya general hospital.Results: During the 16 months study period, 62 patients had organic dyspepsia and 54 patients had functional dyspepsia. Men reported organic dyspepsia (67.4%) more often than women (32.6%), while functional dyspepsia was more common in females (52%). Out of 62 patients with organic dyspepsia, 38 had peptic ulcer disease, 12 had reflux esophagitis, 2 had hiatus hernia, and 10 had gallstones. There was a statistically significant relation between heartburn, epigastric pain and organic dyspepsia, while the relation between altered bowel motion, abdominal distention and functional dyspepsia was highly significant.Conclusions: Peptic ulcer disease, reflux esophagitis, gallstones, and hiatus hernia are the most common causes of organic dyspepsia. Heartburn and epigastric pain are significant predictors to organic dyspepsia, while abdominal distention and altered bowel motion are highly significant predictors of functional dyspepsia.Keywords: Dyspepsia, organic, functional, heartburn, epigastric pain, abdominal distention, and altered bowel motion.