You need to be aware of the following red flag symptoms. If a patient presents with any of the below they should be referred to the pharmacist:- 

• If the indigestion is recurring
• If the patient is in severe pain
• If the patient is over 45 and a first time sufferer
• If the patient has lost weight rapidly without dieting
• If the patient keeps vomiting
• If the patient is taking any other medication
• If the patient has a lump in their stomach
• If the patient has blood in their vomit or stools
• If the patient is having swallowing difficulties
• If they are pregnant or breastfeeding