PDF-BPJ Issue 33Managing dyspepsia and heartburn in general practice

Red flags present Heartburn Undifferentiated dyspepsia not investigated yes no yes yes no no Refer for endoscopyEmpirical treatment with PPI or consider testing and treating for PPI and stepdown Fu. Dyspepsia is a common complaint among individuals seeking medical care as well as in general population Dyspepsia is diagnosed in presence of symptoms thought to originate from the gastroduodenal region early satiation postprandial fullness epigastr such as rice, cucumber, watermelon and milk, followed by Cold & Dry foods - like yogurt, potato, citrus fruit and coconut oil. - Eat less of Hot and Moist foods - such as mutton, ginger, spinach and Leena Patel. 1/2/12. OVERVIEW. Statistics. Red . flags. Management. H-pylori testing and treatment. STATISTICS. 5% of adults/year consult. their GP . for dyspepsia symptoms. 1% will go on to have . endoscopy. Paulo Santos. Federal . University. . of. Ceará, . Brazil. Highly. . prevalent. Great . impact. . on. . quality. . of. . life. Prevalence. In . the. . literature. :. between. . 50%. . and. Paulo Santos. Federal . University. . of. Ceará, . Brazil. Highly. . prevalent. Great . impact. . on. . quality. . of. . life. Prevalence. In . the. . literature. :. between. . 50%. . and. Dr.Azam. . teimouri. Gastroenterologist. Assistant . professr. of Isfahan medical university. DEFINITION: .  . According to the Rome III criteria, dyspepsia is defined as one or more of the following symptoms :. P. ostprandial . fullness, early satiation, . epigastric. pain, or burning. Alarm features in dyspepsia. Age older than 55 years with new-onset dyspepsia . Family history of upper gastrointestinal cancer Unintended weight loss . Gastro-Esophageal Reflux Disease. The condition of chronic, pathologic reflux of acidic stomach contents. Esophagus. Oropharynx. Larynx, even lungs . Leads to symptoms and/or mucosal damage. NERD. = symptoms without damage. Paulo Santos. Federal . University. . of. Ceará, . Brazil. Highly. . prevalent. Great . impact. . on. . quality. . of. . life. Prevalence. In . the. . literature. :. between. . 50%. . and. Case2. A . 44-year. -old man presents with a history of frequent epigastric pain for the past month that is burning in nature.He notes it is . relieved after eating a meal or. . drinking milk. . He has . Approach to A Patient with Introduction Dyspepsia describes symptoms such as discomfort, bloating, nausea, which are thought to originate from the upper gastrointestinal tract. Introdu Gastroenterology Unit. Molinette Hospital. Turin, Italy. Department of Medical Sciences. University of Turin. Turin, Italy Referencesfrom the Spanish Scale measures. Rev Esp Enferm Dig 2017. In press Pregnant women with mild reflux usually do well with simple lifestyle changes. If taking any medication to relieve heartburn symptoms. According to ACG President Amy E. Foxx-Orenstein, DO, FACG,  lower chest, behind the breastbone. It comes from acid backing up from your stomach to your throat. You may have seen ads on American channels for heartburn drugs, such as pantoprazole (e.g., Tect