7.5.4
Dyspepsia
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 7, Gastrointestinal Conditions.
Clinical Description
Meal related non-specific abdominal discomfort and pain.
Signs and Symptoms
- Heart burn or epigastric burning pain
Investigations
- only refer for gastroscopy if not improving on anti-acid treatment
Non-pharmacological
- Advise patient to avoid hot spices, alcohol, smoking, tobacco, carbonated drinks, NSAIDs and Aspirin
- Eating foods rich in proteins to promote healing
- encourage patient to take regular meal
- Do not eat something heavy after staying long time without eating something
Pharmacological
- Chew 2 magnesium trisilicate tablets 6 hourly or more frequently as required for 7 days.
Alternatively:
Omeprazole 20mg at night for 4 weeks or Ranitidine 300mg at night or 150mg 12 hourly for 4 weeks or Cimetidine 400mg 12 hourly or 800mg at night for 4 weeks
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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