Dyspepsia not requiring referral

Source: BMJ

Age under 40

H2-blockers for 6 weeks unless

Age over 40

Consider endoscopy in patients with dyspepsia who have not responded to 2 weeks of regular antacid medication.
STRAWS ALARMS
S moking
T ight clothes
R egular meals
A lcohol
W eight
S tooping
A larms
L oss of weight
A ge
R ecurrent problem
M elaena
S wallowing problem

Management of oesophageal reflux
Management of peptic ulcer
Ulcer maintenance therapy