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Dyspepsia - Coggle Diagram
Dyspepsia
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Initial Management
Review medication: over the counter medication such as antacids/alginates for symptoms relief, reviewing if any medication could be stopped or reduced which may contribute to symptoms, number and duration previous courses of antibiotic which may effect choice of H.pylori eradication regimen.
Assess for stress, anxiety and depression
Uninvestigated dyspepsia symptom management using clinical judgement: One month full dose PPI/Test for Helicobacter pylori infection if the person's status is not known or uncertain.
Advise on lifestyle measures to improve symptoms eg weight loss, avoiding trigger foods, eating small meals, eating evening meal 3-4 hours before going to bed, smoking cessation and reducing alcohol consumption
Persist following initial management: Switch to alternative eg full dose PPI 1 month if been tested for H.pylori infection and vice versa
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Initial detection of H.Pylori - carbon 13 urea breath test or stool antigen test (ensure no PPI in the past 2 weeks, or antibiotic in the past 4 weeks)
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Assessment
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Frequency, duration and pattern of symptoms
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Lifestyle factors: obesity, trigger foods, smoking status and alcohol consumption
Assess for stress, anxiety and depression
Review medications for drugs which exacerbate dyspepsia and use of over the counter medications such as antacids/alginates
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Assess: BMI, signs of anaemia, abdominal masses/tenderness
Consider arranging FBC, to check for anaemia and/or raised platelet count
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The term 'dyspepsia' is used to describe a complex of upper gastrointestinal tract symptoms which are typically present for four or more weeks, including upper abdominal pain or discomfort, heartburn, acid reflux, nausea and/or vomiting.