Here is a quick mnemonic “INDIGESTION PATIENT“ to remember about Indigestion Management
This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams
Indigestion Management : How To Remember Easily ?
- I – Interview the patient thoroughly for managing indigestion.
- N – Note the symptoms of GERD, including heartburn and regurgitation.
- D – Dyspeptic patients report symptoms referable to the upper abdomen.
- I – In atypical GERD, note pharyngeal erythema and wheezing.
- G – GERD and functional dyspepsia may exhibit normal physical exam.
- E – Excluding certain historic and exam features helps discriminate functional from organic causes.
- S – Screen for Barrett’s metaplasia in long-duration heartburn cases with endoscopy.
- T – Testing includes esophageal pH testing for drug-refractory symptoms.
- I – Initial upper endoscopy is recommended in unexplained dyspepsia for patients >60 years old.
- O – Only 0.3% of endoscopies for uninvestigated dyspepsia find malignancy.
- N – Nonacidic reflux may be detected by impedance-pH testing in medication-unresponsive patients.
- P – Perform no more than limited and directed diagnostic testing for most individuals.
- A – Ambulatory esophageal pH testing is considered for atypical GERD symptoms.
- T – The initial test for unexplained dyspepsia in patients >60 years old is upper endoscopy.
- I – Initiate “test and treat” approach for H. pylori status with urea breath testing or stool antigen measurement.
- E – Eradicate H. pylori infection for those who are positive.
- N – Not all patients under age 60 need upper endoscopy, depending on response to therapy.
- T – Test for bleeding with a blood count to exclude anemia.
Mnemonic : INDIGESTION PATIENT