Patient discussions
Patients should be advised to avoid non-steroidal anti-inflammatory drugs (NSAIDs); however, they should continue aspirin if indicated for secondary prevention of cardiovascular events.[59] They should discuss the risks and benefits of continuation of any other anticoagulants with their specialist.
If they have documented H pylori infection, they should be reminded that they need to complete the course of therapy even if symptoms resolve. Patients should seek medical attention if they develop blood in stools, black tarry stools, vomiting, or abdominal pain.
Advise people who need long-term management of dyspepsia symptoms that they should stop cigarette smoking, will need an annual review of their condition, and that they should try stepping down or stopping treatment (unless there is an underlying condition that needs continuing treatment).[46][128] Advise people that it may be appropriate for them to return to self-treatment with antacid and/or alginate therapy (either prescribed or purchased over-the counter and taken as needed).[46]
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