>Practical question: what test would you use to determine the cause
>of dyspepsia in a heavily tattooed aichmophobe, the latter
>declared to render it impossible for a blood sample to be taken?
>--- OffRoad 1.9r registered to Adrian Midgley
HA!! Good to see your not _completely_ up to date!!!!
How about a urease breath test. {:-)}
Dr GM Trowell
Highbridge Medical Centre
Highbridge
Somerset TA9 3YA
01278 783220
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Highbridge - a cemetery with lights
-----Original Message-----
From: Adrian Midgley <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 18 February 1998 10:27
Subject: Re: Gastric ulcers
>[log in to unmask],Net wrote at 23:27 on 17/02/98
>about "Re: Gastric ulcers":
>-----------------------------
>>At the sharp end, Nick, I tend to deal with severe dyspepsia in a
>rather
>>pragmatic way in the under 50's.
>
>Concur with all that stuff.
>
>>inevitably) PPI's. Cheapest at full dose is pantoprazole; market
>leader
>>(and most expensive) is Astra's cash-cow omeprazole.
>
>Astra just reduced the price. Matches Lansoprazole now. (for
>whatever dose they did the sums on)
>Efforts by the NHS financialadmindroids to persuade companies to do
>that are useful, it then leaves us to consider effects.
>Efforts to persuade us to make wholesale changes from one drug to
>another int he same class because of a difference in price are not
>only silly but inefficient.
>
>
>> A leading mix at the moment is (I
>>believe) omeprazole 20mg bd + amoxycillin 500mg bd + clarithromycin
>500mg bd
>>for a fortnight.
>We are getting good effects with one week regimes.
>
>>It really is quite striking how many severe dyspeptics relapse after
>triple
>>therapy in my practice.
>They are quite likely suffering GORD.
>
>Practical question: what test would you use to determine the cause
>of dyspepsia in a heavily tattooed aichmophobe, the latter
>declared to render it impossible for a blood sample to be taken?
>--- OffRoad 1.9r registered to Adrian Midgley
>
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