GIT Flashcards

1
Q

GORD: non-pharmacological management

A
Eat small frequent meals
Drink fluid between meals
Avoid laying after meals
Avoid eating 2-3 hours before bed or exercise
Cease smoking
Avoid caffeine
Avoid alcohol
Avoid chocolate
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2
Q

GORD: indication for gastroscopy

A
Alarm symptoms
Anaemia
Wt loss
Vomiting
Dysphagia
Haematemesis / melaena
New GORD in older people
Changing symptoms
No response to treatment
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3
Q

H. Pylori treatment

A

Nexium (esomeprazole) 20mg BD for 7 days
Amoxil 1g BD for 7 days (if allergy → Metronidazole 400mg BD)
Clarithromycin 500mg BD for 7 days

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4
Q

H. Pylori: indication of gastroscopy

A
Severe symptoms (dyspepsia)
Peptic ulcer
Pt on NSAIDs
Gastric cancer 
Pt’s wishes
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