Question

A 50-year-old patient with a history of chronic gastroesophageal reflux disease (GORD) presents with persistent heartburn and regurgitation despite optimal lifestyle modifications. He is on a low-dose proton pump inhibitor (PPI). What is the next step in management?

Accepted Answer

Increase the PPI dose or frequency

Answer

Switch to an H2 receptor antagonist

Answer

Add a prokinetic agent

Answer

Prescribe antacids only

Answer

Perform immediate endoscopy

Practice question

A 50-year-old patient with a history of chronic gastroesophageal reflux disease (GORD) presents with persistent heartburn and regurgitation despite optimal lifestyle modifications. He is on a low-dose proton pump inhibitor (PPI). What is the next step in management?