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Dyspepsia alarm symptoms — GPhC CRA MCQ

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ModerateGastro-intestinal TherapeuticsDyspepsia alarm symptomsGPhC CRA

A 64-year-old man is prescribed lansoprazole 30mg daily for dyspepsia. He also reports unintentional weight loss, progressive dysphagia and vomiting over 6 weeks. He asks to buy an extra PPI while waiting for GP review. What is the most appropriate action?

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Reveal the answer and explanation

Correct answer: E — Advise urgent medical review because alarm symptoms are present

Progressive dysphagia, vomiting and unintentional weight loss are alarm symptoms that require urgent medical assessment rather than escalation of OTC acid suppression. PPI treatment may mask symptoms and delay investigation. Antacids can provide temporary symptom relief in uncomplicated dyspepsia but are not sufficient here. Loperamide is inappropriate for vomiting and does not address the red flags.

Reference: NICE CKS Dyspepsia; BNF