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Optimal practice review: recommendation reminders detail

Recommendation reminder 5: Long-term, frequent dose, continuous prescription of antacid therapy is inappropriate and only relieves symptoms in the short term rather than preventing them.

Guidance:Dyspepsia
Date issued:August 2004

Indigestion is the word used to describe pain or discomfort in the chest or upper abdomen that happens, sometimes after meals. The medical word for indigestion is dyspepsia. Indigestion covers a number of symptoms, such as feeling bloated, burping, or feeling or being sick. It also covers reflux, which is where some of the stomach contents come back up towards the mouth. The person feels a burning sensation because of the acid present in the stomach.

Studies have found that each year, dyspepsia occurs in 40% of the population and 5% of the population consult their GP about it.

Initial therapeutic strategies for dyspepsia are empirical treatment with a proton pump inhibitor (PPI) or testing for and treating the bacteria Helicobacter pylori (H. pylori) in the stomach. There is currently insufficient evidence to guide which should be offered first.

The NICE guideline development group has recommended that long-term, frequent dose, continuous prescription of antacid therapy is inappropriate and only relieves symptoms in the short term rather than preventing them.

This page was last updated: 12 March 2008

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.