sfk
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35yo female with epigatric discomfort for 2 month. No nausea vomiting weight loss. No relation to meals. FOBT negative . Blood counts, serum chemistires normal. History of gastric ulcer in mother. What is the next step in management?
Ba swallow
Endoscopy
Trial with PPI
H pylori breath test
Trial with antibiotics
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| arlete
Intern in 2009!!!!!
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Trial with PPI
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| Eagle_303
Forum Senior
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Since there are no alarm symptoms .Give a trial of PPI
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| Markus2009
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Trial with PPI
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| GOGETA
I'm Dr. GOGETA
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PPI first
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| sfk
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Aint so easy friends, the answer is H pylori breath test!!
In other words, what are the indications of H pylori testing???
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| nyimalay
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Kaplan said we can give trial of PPI in cases like above mentioned case.
I asked a GP practicing in US about tests they do before giving PPI/ eradication regime.
They did blood test/breath test to get the H.pylori status.
If positive, give eradication regime.
If negative, trial with PPI.
More inputs please.
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| guangyu
Forum Elite
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from UW: if pt have no risk, test H pylori then try PPI
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| chemamr
Moderator and PGY2
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H pylori test
(BUT if it's only a nonulcer dyspepsia, H. pylori eradication is not very useful. So, not clear cut.)
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| liliaeliz
Forum Elite
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H PYLORI BREATH TEST + ANTIBIOTIC
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