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Heartburn/reflux - my advice in 2 tweets
Asses for:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🚩" title="Dreieckige Fahne an einem Pfosten" aria-label="Emoji: Dreieckige Fahne an einem Pfosten">age 55+ & wt loss, or
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🚩" title="Dreieckige Fahne an einem Pfosten" aria-label="Emoji: Dreieckige Fahne an einem Pfosten">dysphagia
If either, refer 2WW
Consider H. pylori testinghttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🦠" title="Microbe" aria-label="Emoji: Microbe">
Limit NSAIDs
Omeprazole 40 mg / day
(20 mg not usually enough)
30-60 mins b4https://abs.twimg.com/emoji/v2/... draggable="false" alt="🥪" title="Sandwich" aria-label="Emoji: Sandwich"> for 3-6 months
PRN Gaviscon advance
#GastroTwearls
1/2
Asses for:
If either, refer 2WW
Consider H. pylori testing
Limit NSAIDs
Omeprazole 40 mg / day
(20 mg not usually enough)
30-60 mins b4
PRN Gaviscon advance
#GastroTwearls
1/2
Lifestyle advice;
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> BMI https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍷" title="Weinglas" aria-label="Emoji: Weinglas"> https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> https://abs.twimg.com/emoji/v2/... draggable="false" alt="☕️" title="Heißgetränk" aria-label="Emoji: Heißgetränk">
eat dinner >4 hrs beforehttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🛏" title="Bett" aria-label="Emoji: Bett">
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🚭" title="Rauchverbot-Zeichen" aria-label="Emoji: Rauchverbot-Zeichen">, avoid spicy food & https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍫" title="Schokoriegel" aria-label="Emoji: Schokoriegel">
Symptoms should settle but may need longer term PPI Rx (especially if unable to lose weight)
Consider a direct access OGD if not settling or progressively worse
#GastroTwearls
2/2
eat dinner >4 hrs before
Symptoms should settle but may need longer term PPI Rx (especially if unable to lose weight)
Consider a direct access OGD if not settling or progressively worse
#GastroTwearls
2/2
I have done a 2 slide summary on heartburn reflux - you might find this helpful - let me know your thoughts on this
@DoctorMayJay @DrNighatArif @JKN84 @DrSdeG @Doc_Natasha @dr_alex_gates @pkonline84
@DoctorMayJay @DrNighatArif @JKN84 @DrSdeG @Doc_Natasha @dr_alex_gates @pkonline84
