Referral and Signposting
When to refer
There are certain symptoms that should ring alarm bells. Get your pharmacist involved if a customer reports any of the following:
- Continual indigestion symptoms for the first time if they are aged over 55 years
- Severe, constant or worsening pain
- Blood-stained vomit or black, tarry stools
- Pain radiating down the arm or into the back
- Unexpected weight loss
- Difficulty swallowing or breathing
- Symptoms experienced by children
- Heartburn or indigestion that has not responded to OTC remedies.
Signposting
For more information, you can
- Use your Counter Intelligence Plus training guide
- Visit the NHS website:
- Look at information provided by the charity Guts UK
- Read the NICE guidance on GORD.