QuestionSBA
QuestionChoice
H.pylori is a bacteria that causes infection and inflammation of the stomach and can cause reflux.

This can be treated with a PPI and 2 antibiotics and do not warrant an urgent cancer pathway investigation.
10005894
d
Positive stool test for H.pylori
QuestionChoice
Cancer is most associated with weight loss.
10005892
b
Weight gain
QuestionChoice
Platelets are seen raised in infection, inflammation and blood loss.

Therefore this would be important to investigate further however low platelets don't necessarily need investigating but followed up.
10005893
c
low platelet count
QuestionChoice
Gaviscon is an antacid that neutralises stomach acid and reduces pain and discomfort.

A proton pump inhibitor (PPI) is better at controlling the symptoms by blocking the release of acid. this should be trialled prior to calling the dyspepsia treatment-resistant.
10005895
e
Symptoms not relieved by gaviscon
QuestionChoice
Red flag symptoms is a warning symptom of cancer and warrant a 2-week referral for cancer.

This is a red flag symptom that, with being over 55 and dyspepsia warrants referral for an upper gastrointestinal endoscopy.

If this man also had weight loss, an urgent endoscopy would be required.
10005891
a
Iron deficiency anaemia
Concept
Chapter
2693
4457
Dyspepsia
Topic
136
Gastroenterology
13725
56 year old presents to the GP with dyspepsia.

The GP discusses some lifestyle changes to improve the main presenting symptom.

The GP wants to explore more symptoms of the patient to make sure further investigations are not required.

Which of these would be seen as red flags symptoms and warrant further investigation with an upper gastrointestinal endoscopy?
a