Management of dyspepsia

Backhttp://www.carepathways4gp.org.uk/carepathways4gp.org.uk/Referral_Care_Pathways.html
 

adapted from NICE CG27 : Dyspepsia - management of dyspepsia in adults in primary care

Dyspepsia not requiring referral
Review medicationLifestyle.html
Modify
LifestyleLifestyle.html
Full dose PPI for 1 month
Test for H Pylori and treatH._Pylori_testing.html
Trial of H2RA or prokinetic for 1 mth
Review
Return to self care

Low dose treatment as required

Response

Response

No response

Response

Response

No response

No response

No response

Relapse

Dyspepsia 
requiring referralDyspepsia_Referral_pathway.html
Referral Checklist

 Significant GI bleeding
 Any age if alarm signs:
 Chronic GI bleeding
 Unintentional weight loss
 Dysphagia
 Persistent vomiting
 Iron def. anaemia
 Epigastric mass
 Suspicious Ba meal
 Over 55 yr new onset
 Referral_Criteria.html
Review
Local Contact Details for Urgent ReferralReferral_Criteria.html
Download dyspepsia pathway wall chart hereDyspepsia_Pathway_files/NICEdyspepsia.pdf