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Clinical Guideline: DyspepsiaSite: FPH-85725267335Upper abdominal pain or discomfortAbdominal bloatingNausea and vomitingHeartburnPain worse after eating or better with foodPain wakes at night00Upper abdominal pain or discomfortAbdominal bloatingNausea and vomitingHeartburnPain worse after eating or better with foodPain wakes at night-127028575History00History-38100203835General Information00General Information-1238253852545Lifestyle advice:Healthy eating; weight reduction; smoking cessation; promote continued use of antacid/alginates.Medication review:Calcium antagonists, Nitrates, Theophyllines, Bisphosphonates, Corticosteroids, NSAIDsMedication:Full dose PPI one month and reviewNo response: try H2RA +/- prokineticLow dose treatment as requiredCare with rebound when weaning off; cover with antacid??PPI dosesHigh-doseFull-doseLow-doseOmeprazole40mg20mg10mgEsomeprazole40mg20mg-Lansoprazole-30mg15mgPantoprazole-40mg20mgRabeprazole-20mg10mg00Lifestyle advice:Healthy eating; weight reduction; smoking cessation; promote continued use of antacid/alginates.Medication review:Calcium antagonists, Nitrates, Theophyllines, Bisphosphonates, Corticosteroids, NSAIDsMedication:Full dose PPI one month and reviewNo response: try H2RA +/- prokineticLow dose treatment as requiredCare with rebound when weaning off; cover with antacid??PPI dosesHigh-doseFull-doseLow-doseOmeprazole40mg20mg10mgEsomeprazole40mg20mg-Lansoprazole-30mg15mgPantoprazole-40mg20mgRabeprazole-20mg10mg-857253613150Advice and Treatment00Advice and Treatment-1238251938021Consider referral if:Chronic GI bleeding Progressive unintentional weight loss?Progressive difficulty swallowingPersistent vomitingIron deficiency anaemia?Epigastric mass or suspicious barium meal.Failure of treatmentBarretts surveillance00Consider referral if:Chronic GI bleeding Progressive unintentional weight loss?Progressive difficulty swallowingPersistent vomitingIron deficiency anaemia?Epigastric mass or suspicious barium meal.Failure of treatmentBarretts surveillance-857251690370Referral Guidelines – red flag signs00Referral Guidelines – red flag signs-857251318895Do we have H Pylori stool test yet?00Do we have H Pylori stool test yet?-381001080770Investigation00Investigation-85725775970Abdominal exam00Abdominal exam-38735536575Examination00Examination-38100128271Occasional heartburn is normal00Occasional heartburn is normal ................
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