ROSH Gastrointestinal Practice Exam

Which symptom is most likely associated with a diagnosis of refractory dyspepsia?

1. Belching

2. Refractory dyspepsia

3. Steatorrhea

4. Weight loss

The correct answer is: Belching

Refractory dyspepsia is characterized by persistent gastrointestinal symptoms despite appropriate medical management. Belching is a common symptom that can be closely related to dyspeptic disorders. It often arises from the accumulation of gas in the stomach, leading to discomfort and a sensation of fullness, which are common complaints in individuals suffering from dyspepsia. In the context of refractory dyspepsia, individuals frequently experience belching as they may be sensitive to food, stress, or other factors that exacerbate their gastrointestinal discomfort. This symptom can signify underlying motility issues or increased sensitivity of the gastrointestinal tract, which are hallmark features in many dyspeptic patients. Other potential options may suggest symptoms that could be associated with different gastrointestinal conditions. For instance, steatorrhea (the presence of excess fat in stools) typically indicates malabsorption syndromes rather than dyspepsia, and weight loss often points towards more significant gastrointestinal pathology or malignancy, rather than a functional disorder like refractory dyspepsia. Thus, belching stands out as the symptom most relevant to a diagnosis of refractory dyspepsia.