UNINVESTIGATED DYSPEPSIA (NICE CG 184 2014, NG12 2015) NO YES 2/52 rule referral [Or gastroscopy within 2 weeks] NO IMPROVEMENT Reflux predominant Dyspepsia/epigastric pain YES YES <55 yrs NO * Alarm symptoms Progressive difficulty swallowing (any age) Aged 55 years and over with weight loss and any of the following: upper abdominal pain, reflux, dyspepsia. **Key PMH items:
UNINVESTIGATED DYSPEPSIA (NICE CG 184 2014, NG12 2015) NO YES 2/52 rule referral [Or gastroscopy within 2 weeks] NO IMPROVEMENT Reflux predominant Dyspepsia/epigastric pain YES YES <55 yrs NO * Alarm symptoms Progressive difficulty swallowing (any age) Aged 55 years and over with weight loss and any of the following: upper abdominal pain, reflux, dyspepsia. **Key PMH items:
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