Do you test everyone with new onset dyspepsia for H pylori in primary care?

How do you approach H. pylori testing for new-onset dyspepsia in primary care?

• Test everyone at presentation
• Test initially in patients over 60 with alarm features
• Test only if symptoms persist after a PPI trial
• Treat empirically without routine H. pylori testing
• Test only in those with risk factors (i.e., recent travel to endemic area)
• Other