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A 
tweet guide on investigating
๐ช๐ฒ๐ถ๐ด๐ต๐ ๐น๐ผ๐๐ 
(Unintentional/unexplained)
for GPs & non-Gastroenterology colleagues.
Some ๐๐๐๐๐ฃ๐๐ฉ๐๐ค๐ฃ๐จ
>
% wt (~
lbs / kg)
&/or
Looser clothes
&/or
Family / friends concern
#GastroTwearls 1/3
tweet guide on investigating๐ช๐ฒ๐ถ๐ด๐ต๐ ๐น๐ผ๐๐ (Unintentional/unexplained)
for GPs & non-Gastroenterology colleagues.
Some ๐๐๐๐๐ฃ๐๐ฉ๐๐ค๐ฃ๐จ
>
% wt (~ lbs / kg)&/or
Looser clothes
&/or
Family / friends concern
#GastroTwearls 1/3
๐๐ถ๐๐๐ผ๐ฟ๐ taking considerations
๐๐ช๐ง๐ฆ๐ด๐ต๐บ๐ญ๐ฆ ๐ค๐ฉ๐ข๐ฏ๐จ๐ฆ๐ด?
exercise 
(more active) job
Eating / change in diet 
๐๐ฆ๐ฏ๐ต๐ข๐ญ ๐ฉ๐ฆ๐ข๐ญ๐ต๐ฉ?
stress / anxiety / depression
eating disorder
substance misuse
#GastroTwearls 2/3
๐๐ช๐ง๐ฆ๐ด๐ต๐บ๐ญ๐ฆ ๐ค๐ฉ๐ข๐ฏ๐จ๐ฆ๐ด?
exercise (more active) jobEating
/ change in diet ๐๐ฆ๐ฏ๐ต๐ข๐ญ ๐ฉ๐ฆ๐ข๐ญ๐ต๐ฉ?
stress / anxiety / depression eating disorder substance misuse#GastroTwearls 2/3
๐๐ป๐๐ฒ๐๐๐ถ๐ด๐ฎ๐๐ถ๐ผ๐ป๐
FBC U+E LFT
Coeliac screen
Thyroid function
Glucose / HbA1C
HIV screen
Most importantly (imo)
๐๐ง ๐ฆ๐๐๐ก (CAP)
Have
threshold as age 
If CT scan normal & patient has weight + reflux needs 
OGD
#GastroTwearls 3/end
FBC U+E LFT Coeliac screen Thyroid function Glucose / HbA1C HIV screenMost importantly (imo)
๐๐ง ๐ฆ๐๐๐ก (CAP) Have
threshold as age If CT scan normal & patient has
weight + reflux needs OGD#GastroTwearls 3/end
Please share 
Happy to discuss, I welcome comments & questions 
Happy to discuss, I welcome comments & questions
