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Dyspepsia - pregnancy-associated - Management
When should I refer a pregnant woman with dyspepsia?
- Refer urgently to a gastroenterologist if there are alarm features, such as: chronic gastrointestinal bleeding; progressive unintentional weight loss; progressive difficulty in swallowing (dysphagia); or persistent vomiting.
- Refer non-urgently to a gastroenterologist if:
- Symptoms do not adequately respond to antacids, alginates, ranitidine, or omeprazole.
- The woman is unable to eat sufficiently because of symptoms.
- The diagnosis is in doubt (e.g. biliary colic).
- There is a previous history of peptic ulcer disease; Barrett's oesophagus; or known dysplasia, atrophic gastritis, or intestinal metaplasia; and symptoms are inadequately controlled on usual medication.
- Refer to an obstetrician if symptoms suggest a pregnancy-related disorder other than dyspepsia (e.g. HELLP syndrome, pre-eclampsia).
In depth
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