Question

A 50-year-old patient complains of heartburn and regurgitation, particularly at night, for several months. He has no alarming features. Which is the most appropriate first step in management?

Accepted Answer

C. Empirical full-dose PPI therapy for 4 weeks

Answer

A. High-dose proton pump inhibitors (PPIs) for 6 weeks

Answer

B. Upper GI endoscopy immediately

Answer

D. H2 receptor antagonist therapy for 8 weeks

Answer

E. Lifestyle advice only, no medication

Practice question

A 50-year-old patient complains of heartburn and regurgitation, particularly at night, for several months. He has no alarming features. Which is the most appropriate first step in management?