- Initial treatment is the same (H2-Receptor Blocker or Protom Pump Inhibitor, plus/minus Antacids)
- Melena or Hematemesis
- Upper abdominal pain most of the day, every day, for a week or more
- Daily nausea, plus weight loss
- History of prior episodes daily upper abdominal pain >3 weeks
- History of prior GI Bleed (melena or hematemesis)
- do NOT occur DAILY;
- do NOT LAST the better part of the day
- NO bona fide epigastric tenderness (consistent, despite adequate distraction)
- No suggestion of bleed as above
- prominent substernal pain or burning
- sour taste in mouth, bloating
- NO epigastric tenderness
Readers — Don’t be upset when you see the same blurb for PUD, Gastritis, Dyspepsia, & GERD.
See posting Abdominal Pain – 1.