Dyspepsia and gastro‑oesophageal reflux disease in adults

Quality statements

Statement 1 Adults with dyspepsia or reflux symptoms who present to community pharmacists are given advice about making lifestyle changes, using over‑the‑counter medicines and when to consult their GP.

Statement 2 Adults presenting with dyspepsia or reflux symptoms are referred for urgent direct access endoscopy to take place within 2 weeks if they have dysphagia, or are aged 55 and over with weight loss.

Statement 3 Adults with dyspepsia or reflux symptoms have a 2-week washout period before a test for Helicobacter pylori if they are receiving proton pump inhibitor therapy.

Statement 4 Adults aged 55 and over with dyspepsia or reflux symptoms that have not responded to treatment have a discussion with their GP about referral for non‑urgent direct access endoscopy.

Statement 5 Adults with persistent, unexplained dyspepsia or reflux symptoms have a discussion with their GP about referral to a specialist service.