Question

A 48-year-old male presents with retrosternal burning pain, especially after meals and at night, for 3 months. What is the most appropriate initial management step for suspected GORD according to NICE guidelines?

Accepted Answer

Lifestyle modifications and a trial of a low-dose proton pump inhibitor

Answer

Immediate endoscopy

Answer

Start a high-dose proton pump inhibitor for 8 weeks

Answer

H2 receptor antagonist therapy

Answer

Surgical fundoplication

Practice question

A 48-year-old male presents with retrosternal burning pain, especially after meals and at night, for 3 months. What is the most appropriate initial management step for suspected GORD according to NICE guidelines?