Dyspepsia

• Avoid:


  Caffeine, Fatty foods, Spicy foods and Fizzy drinks
• Alginates


  Gaviscon Liquid or Chewable Tablets
• Antacids


  Al or Mg Salts, Ca or Na Bicarbonates
• PPIs 18+ only


  Omeprazole and Esomeprazole
• Gripe Water for babies 1 month to 1 year olds
• Constant gnawing pain in stomach may be sign of ulcer
• Burning sensation in middle of chest, nausea and/or vomiting, bloating and flatulence
• Young adults are more likely to suffer
• Lifestyle changes: Quitting smoking, less alcohol and losing weight, stress, fast food, less caffeine
• Avoid trigger foods and overeating
• Refer if any blood in vomit or stool
• Avoid bending, caffeine, fatty/spicy foods
• Try eating smaller meals
• Avoid eating right before sleeping
• Eat slower, avoid gulping air
• Sleep with head raised
• GORD improves as baby reaches 1 years old
• Avoid overfeeding baby and exposure to cigarette smoke, change nappy before feeding
• Keep baby upright for 20-30 minutes after feeding, raise head of bed, thickened feeds for formula fed babies
• Persistant dyspepsia should see GP
• Only short term use of alginates, around a week
• Gaviscon infant no more than 6 sachets a day
• Gaviscon can interfere with oral medications