A 40-year-old man complains of frequent heartburn and regurgitation, particularly after meals and when lying down. These symptoms have been present fo...

Question

A 40-year-old man complains of frequent heartburn and regurgitation, particularly after meals and when lying down. These symptoms have been present for 6 months. He has tried lifestyle modifications and over-the-counter antacids with minimal relief. What is the most appropriate next step in management according to NICE guidelines?

Accepted Answer

Offer a 4-week course of a full-dose proton pump inhibitor (PPI)

Answer

Refer for urgent endoscopy

Answer

Offer H2 receptor antagonist therapy

Answer

Test for Helicobacter pylori

Answer

Prescribe a prokinetic agent

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