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This Concept Map, created with IHMC CmapTools, has information related to: 215_heartburn and dyspepsia, Exclusions for self-treatment? yes Medical referral, Moderate, infrequent Lifestyle/dietary modifications and antacid, alginic acid/antacid, OTC higher-dose H2RA, Assess patient's symptoms. Obtain medication history. Exclusions for self-treatment?, Exclusions for self-treatment? no Episodic heartburn, Mild, infrequent Lifestyle/dietary modifications and antacid, alginic acid/antacid, OTC low dose H2RA, or OTC H2RA/antacid, Heartburn resolved after 2 weeks? yes Stop PPI; may repeat regimen every 4 months if needed. Continue dietary/lifestyle modifications, Heartburn responds to selected therapy? yes Continue dietary/lifestyle modifications and as-needed medications. Reassess if frequency and/or symptoms change., Episodic heartburn Moderate, infrequent, Exclusions for self-treatment? no Frequent heartburn ≥2 days per week, Lifestyle/dietary modifications and antacid, alginic acid/antacid, OTC low dose H2RA, or OTC H2RA/antacid Heartburn responds to selected therapy?, Heartburn resolved after 2 weeks? no Medical referral, Heartburn responds to selected therapy? no Consider different agent or treatment with OTC PPI or medical referral, Episodic heartburn Mild, infrequent, Frequent heartburn ≥2 days per week lifestyle/dietary modifications and OTC PPI once a day for 14 days, Lifestyle/dietary modifications and antacid, alginic acid/antacid, OTC higher-dose H2RA Heartburn responds to selected therapy?, lifestyle/dietary modifications and OTC PPI once a day for 14 days Heartburn resolved after 2 weeks?, Patient with complaint of heartburn Assess patient's symptoms. Obtain medication history.