This document provides information on dyspepsia, including its definition, causes, investigations, and management guidelines. It begins by defining dyspepsia and outlining its prevalence in the UK population. It then discusses the common and rare causes of dyspepsia and how to investigate patients. The document reviews guidelines from NICE on investigating and managing dyspepsia. It provides examples of case histories and questions to help apply the guidelines. Key points are emphasized, such as addressing lifestyle factors, empirically treating dyspepsia, and referring patients with red flag symptoms urgently for endoscopy.
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Dyspepsia Management Guidelines
1. Honorary senior clinical lecturer, University of Sheffield
Consultant Gastroenterologist
Barnsley Hospital NHS Foundation trust, UK
elmuhtady.said@nhs.net
A firm clinical diagnosis can be difficult on the basis of these symptoms as few are discriminatory.
PDS meal related FD
EPS meal unrelated FD
January 1, 2008 to June 30, 2008
369 patients were referred for OAG
The 3 patients diagnosed with cancer were exclusively in group B
1 patient from group A
January 1, 2008 to June 30, 2008
369 patients were referred for OAG
The 3 patients diagnosed with cancer were exclusively in group B
1 patient from group A
Concise set of prioritised statements designed to drive measurable improvement in the 3 dimensions of quality, patient safty, patient experience and clinical effectiveness- for a particular area in health care.
Leave a 2-week washout period after PPI use before testing for H. pylori with a breath test or a stool antigen test.
Offer H2RA therapy if there is an inadequate response to a PPI.
If all investigations normal, treat as functional dyspepsia