Chapter 43 Minor Ailment, Assessment, Gastrointestinal Conditions Q&A (1 of 39) Sample Questions
1. A customer comes to the pharmacy complaining of a burning feeling somewhere between the stomach and lower chest rising up to the neck with epigastric pain and nausea. These symptoms have been occurring almost once every 2 to 3 days for the past 2 weeks but not persistent. After eating lunch, she would feel severe heartburn and vomit acidic reflux. What is appropriate?
- A. Offer non-pharm advice +/- H2RA or antacids, or alginates.
- B. Refer to physician to get Proton Pump Inhibitor (PPI) prescription.
- C. Refer to physician for further investigation.
- D. Recommend Proton Pump Inhibitor (PPI), or H2RA or prokinetic agents.
Tips: If mild and infrequent symptoms remain after 14 days or incompletely relieved refer to physician
Q.MILD: GERD symptoms do not interfere with daily activities and usually low intensity, short in duration, not nocturnal, infrequent (<3 times/week) and without major complications.