Diagnosis Protocol

Upper abdominal discomfort >2-4 weeks. Epigastric pain, heartburn, bloating, early satiety, repeated belching/regurgitation, nausea.

Requires endoscopy referral: Dysphagia, Odynophagia (in HIV negative), weight loss, abdominal mass, cervical lymphadenopathy, evidence of upper GI bleeding, iron deficiency anaemia, recurrent vomiting, or new symptoms in >40 years.