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Heartburn/reflux - my advice in 2 tweets
Asses for:
age 55+ & wt loss, or
dysphagia
If either, refer 2WW
Consider H. pylori testing
Limit NSAIDs
Omeprazole 40 mg / day
(20 mg not usually enough)
30-60 mins b4
for 3-6 months
PRN Gaviscon advance
#GastroTwearls
1/2
Asses for:
age 55+ & wt loss, ordysphagiaIf either, refer 2WW
Consider H. pylori testing
Limit NSAIDs
Omeprazole 40 mg / day
(20 mg not usually enough)
30-60 mins b4
for 3-6 monthsPRN Gaviscon advance
#GastroTwearls
1/2
Lifestyle advice;
BMI 
eat dinner >4 hrs before
, avoid spicy food & 
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
BMI eat dinner >4 hrs before
, avoid spicy food & 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
