Dyspepsia

Question 1

Dyspepsia and has had 20 mg dosage of Omeprazole during another test whilst taking it didn’t show improvement ….what do you do?

Answer 1

Test and treat H.Pylori

Question 2

Management steps of Dyspepsia

Answer 2

1. Review medications for possible causes of dyspepsia
2. Lifestyle advice
3. Trial of full-dose proton pump inhibitor for one month OR a ‘test and treat’ approach for H. pylori
   if symptoms persist after either of the above approaches then the alternative approach should be tried

Question 3

What’s urgent call on dyspepsia

Answer 3

dysphagia

an upper abdominal mass consistent with stomach cancer

aged >= 55 years who’ve got weight loss, AND any of the following:

upper abdominal pain
reflux
dyspepsia

Question 4

What’s non urgent call on Dyspepsia

Answer 4

haematemesis

Patients aged >= 55 years who’ve got:
treatment-resistant dyspepsia or
upper abdominal pain with low haemoglobin levels or

raised platelet count with any of the following: nausea, vomiting, weight loss, reflux, dyspepsia, upper abdominal pain

nausea or vomiting with any of the following: weight loss, reflux, dyspepsia, upper abdominal pain