ABSTRACT
Background: Anemia is an important but underdiagnosed cause of morbidity in elderly. The clinical and hematological profile of anemia is different in different geographical area.Methods: It was a retrospective study. Case files of 50 geriatric patients admitted in Basaveshwara Medical College and Research Institute, Chitradurga with anemia, were selected for the above study. Male patients with Hb <13 g/dl and female patients with Hb <12 g/dl were considered in the study.Cases were analyzed to find out clinical and hematological profile of anemia.Results: The commonest clinical presentation was easy fatigability (70%), followed by dyspnea (50%). The commonest cause of anemia was iron deficiency (36%) followed by Vitamin B 12 and folate deficiency (24%), anemia of chronic disease(12%).Conclusions: Failure to evaluate anemia in elderly lead to delayed diagnosis of potentially treatable conditions. Nonspecific symptoms like fatigue and weakness should not be ignored, presuming that they are part of “normal ageing”. An effort should always be made to reach etiological diagnosis before instituting treatment. Role of NSAIDs as a risk factor in anemia should not be overlooked.
ABSTRACT
Background: Dyspepsia is a frequent syndrome in our country where there are limitations for endoscopy and there is high burden of H. pylori infection. It is important to establish the causes of dyspepsia hence therapeutic approach will be easier. Aim of the study was to find out the common endoscopic findings in a patient with dyspepsia symptoms large tertiary care hospital.Methods: A cross-sectional study was conducted on 184 patients either admitted or seen on outpatient basis at the Basaveswara medical college and research institute, Chitradurga with the upper GI symptom dyspepsia and the data was analysed using appropriate statistical methods.Results: Out of 184 patients who underwent Esophagogastroduodenoscopy (EGD scopy) 62% were male and 61% were 31-59year old. The common pathological findings in dyspeptic patients were gastritis and esophagitis.Conclusions: The following insights/observations were made during the course of this study? dyspepsia is usually caused by H. pylori gastritis, eradication of which relieves the symptom in this observation. Many a times dyspepsia found to have normal study. Hence wise referral for endoscopy is a key in resource limited setup.