A 48-year-old man with a BMI of 36 kg/m^2 presents with burning central chest pain after meals, particularly spicy food, and an acid taste in his mout...

Question

A 48-year-old man with a BMI of 36 kg/m^2 presents with burning central chest pain after meals, particularly spicy food, and an acid taste in his mouth. Symptoms are worse when lying down. What is the most appropriate initial management according to NICE NG184?

Accepted Answer

Lifestyle advice including weight loss and dietary modification

Answer

Referral for upper GI endoscopy

Answer

Trial of ranitidine 150mg BD

Answer

Trial of full-dose PPI (e.g., omeprazole 20mg OD) for 4 weeks

Answer

Trial of Gaviscon Advance PRN

mrcgp akt MCQ (SBA): Gastro-oesophageal Reflux Disease (GORD)

A 48-year-old man with a BMI of 36 kg/m^2 presents with burning central chest pain after meals, particularly spicy food, and an acid taste in his mouth. Symptoms are worse when lying down. What is the most appropriate initial management according to NICE NG184?