Uma Perspectiva Crítica Sobre a Abordagem Ambulatorial da Dispepsia, Êmese e Diarreia

Abstract

Dyspepsia, emesis and diarrhea, although symptoms that can occur in everyday life, can signal complex pathologies and require a careful approach. Traditionally, dyspepsia is treated with proton pump inhibitors, changes in diet and lifestyle and even the eradication of Helicobacter pylori, but studies show that 30% of patients remain symptomatic, indicating the need for a more in-depth evaluation of the underlying causes. Emesis, in turn, is often managed with antiemetics or motility-accelerating drugs, which can hide the severity of the patient's clinical condition. Finally, diarrhea is primarily treated with rehydration, BRAT diet and sometimes antispasmodics, requiring careful evaluation in chronic cases to identify inflammatory conditions. These contexts highlight particularities with potential for aggravation in each of these manifestations that can even lead to death, raising critical points for the care of patients who present these syndromic manifestations.