Empiric therapy for UGI symptoms in HIV

What is the role of empiric therapy for upper GI symptoms in HIV infected patients? 

With improving HIV and AIDS therapies, patient commonly have CD4 counts higher than 200 cells/mL. In these patients, an empiric trial of a proton pump inhibitor is reasonable for symptoms consistent with gastroesophageal reflux disease (GERD) or other dyspeptic complaints. If symptoms do not improve within 1 or 2 weeks, endoscopic evaluation to exclude other causes of disease is mandatory.


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