Dyspepsia Flashcards
1
Q
Initial reflux approach
A
- screen for red flags / bleeding -> endoscopy
- think about cardiac, respiratory, biliary DDx
- stop nsaids / change to Cox 2 inhibitors
- 4 week trial of ppi if no red flags
- if no response, either ogd, or 2 week washout ppi and test for h pylori
- if symptoms recur after initial ppi response, reintroduce at low dose
- h pylori 10-14 days > 7 days
- Amox + metro/Clary
- Clari + metro