Management of oesophageal reflux
- Any patient with worrying symptoms such as dysphagia or weight loss, or those found to
be anaemic should be referred for endoscopy.
- Any patient with severe symptoms persisting for two weeks or more who is aged over 45
should be referred for endoscopy.
- Any patient who because of extreme age or infirmity would constitute an increased
endoscopic risk should be treated empirically, including the use of proton pump
- Any patient whose symptoms are mild or infrequent should be offered lifestyle advice
(STRAWS) and antacids or alginates.
- Patients under the age of 45 who do rot respond to the above measures, or whose symptoms
are severe should be given a 2-3 month trial of an H2 receptor blocker or prokinetic drug.
- Patients who do not respond to 5, or who relapse after discontinuation should be
referred for endoscopy.
T ight clothes
R egular meals
L oss of weight
R ecurrent problem
S wallowing problem
Management of peptic ulcer
Ulcer maintenance therapy
Bradley Cheek 1999