A 30-year-old woman presents with intermittent epigastric pain, worse after meals and at night. She occasionally uses over-the-counter antacids with t...

Question

A 30-year-old woman presents with intermittent epigastric pain, worse after meals and at night. She occasionally uses over-the-counter antacids with temporary relief. She is otherwise healthy and takes no regular medication. What is the most appropriate initial investigation strategy according to NICE CKS?

Accepted Answer

Test for Helicobacter pylori and treat if positive

Answer

Referral for urgent endoscopy

Answer

Trial of full-dose PPI for 4 weeks

Answer

Abdominal ultrasound

Answer

Serum amylase

ukmla MCQ (SBA): Dyspepsia