Slajd39 (88)

Aoorexia. nausea. or vomitmg with abdominal pam

T    T

Age * 45 years    Age > 45 years

ł

Test for py/or/infection

f-¹-1

Positive    Negative

I    I

H pylon eradication _w Treat as reflux or

treatment	functional dyspepsia
1^=3=	i r~	ł
lmproved Notimproved^J lmproved		Not improved
	t	_J
	Functional features?
f—
|— No		Yes
	ł-
Oiscuss patiem s concerns and fears
ł		"ł
lmproved	Not improved

Refer for endoscopy and possibly further opinion and tests

(BMJ 2001, vol„323)