Treatment of Upper GI Disease

Question 1

When do you investigate dyspepsia?

Answer 1

Chronic GI bleeding
Dysphagia
Weight loss
Vomitting
Anaemia

Question 2

Which tests do you do if there is univestigated Dyspepsia?

Answer 2

Treat and test for H.Pylori?
Offer PPI or H2RA for 4 weeks
Lowest dose

Question 3

What do prokinetic agents do?

Answer 3

Increases LOS pressure
Stimulates motility of GI tract
Ineffective at healing erosive oesophagitis

Question 4

What are some lifestyle modifications you can do?

Answer 4

1) Avoid medication that relax the LOS
2) Avoid foods that relax the LOS
3) Lose weight
4) Avoid tight clothing
5) Stop smoking
6) Raises head of the bed by 6 to 8 inches
7) Avoid within eating 3 hours of bedtime