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I have vetted ~3๏ธโƒฃ0๏ธโƒฃ0๏ธโƒฃ referrals from primary care to Gastroenterology in last 2/52.

Pathways vary around the country - nevertheless I have observations / advice about managing common GI problems in primary care & when to refer in 7๏ธโƒฃ tweets

#GastroTwearls 1/7
Simple GORD does not need an OGD. This is as per national guidance as OGDs arenโ€™t pleasant & rarely changes management.

See #GastroTwearl๐Ÿ‘‡๐Ÿผ

When giving a PPI, Omeprazole is better than Lansoprazole (fewer SEs) - give a decent dose of 40 mg / day

2/7
Constipation is really common & poorly recognised. Often a symptom of IBS.

Opioids are a major culprit and cause much misery - give concomitant laxatives.

See #GastroTwearl below for a 4๏ธโƒฃ tweet guide.

3/7
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