Dyspepsia Flashcards
management of
dyspepsia with chronic GI bleeding or >55 and weight loss
urgent referral to specialist
management of representation of dyspepsia after previous diagnosis
Treat on basis that similar pathology has recurred
If patient unresponsive to treatment or diagnosis unclear refer to specialist
what medications can cause dyspepsia
NSAIDs, steroids, calcium antagonists, nitrates, theophylines and bisphosphonates
management of first presentation of dyspepsia
review medications
lifestyle advice
recommend antacids
test for h.pylori
try PPI for one month
where are PPIs metabolised
liver mostly
how should long term use of PPIs be managed and why
weigh up risks and benefits as increase risk of gastric cancer
monitoring of treatment
check for h.pylori eradication
check after month or two of PPI that they are working and there is no warning signs of malignancy (e.g. weight loss)
