You are currently viewing Indigestion Management – Mnemonic

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.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER working in department