A 45-year-old man presents with a 3-month history of intermittent epigastric pain, worse after meals and at night. He occasionally uses ibuprofen for ...

Question

A 45-year-old man presents with a 3-month history of intermittent epigastric pain, worse after meals and at night. He occasionally uses ibuprofen for headaches. An H. pylori breath test is positive. He has no alarm symptoms. What is the most appropriate initial management?

Accepted Answer

Offer eradication therapy with a PPI, amoxicillin, and clarithromycin

Answer

Offer lansoprazole 30mg OD for 4 weeks

Answer

Offer eradication therapy with a PPI, metronidazole, and clarithromycin

Answer

Refer for urgent endoscopy

Answer

Advise lifestyle changes and review in 4 weeks

ukmla MCQ (SBA): Helicobacter Pylori Infection

A 45-year-old man presents with a 3-month history of intermittent epigastric pain, worse after meals and at night. He occasionally uses ibuprofen for headaches. An H. pylori breath test is positive. He has no alarm symptoms. What is the most appropriate initial management?