A 55-year-old man presents with a 3-month history of worsening heartburn, particularly at night. He has tried over-the-counter Gaviscon with minimal r...

Question

A 55-year-old man presents with a 3-month history of worsening heartburn, particularly at night. He has tried over-the-counter Gaviscon with minimal relief. He reports no alarm symptoms such as dysphagia, weight loss, or anaemia. What is the most appropriate initial management in primary care?

Accepted Answer

Prescribe a full-dose proton pump inhibitor for one month

Answer

Refer for urgent endoscopy

Answer

Trial a histamine H2-receptor antagonist for two weeks

Answer

Check for Helicobacter pylori infection with a stool antigen test

Answer

Advise lifestyle changes only

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

A 55-year-old man presents with a 3-month history of worsening heartburn, particularly at night. He has tried over-the-counter Gaviscon with minimal relief. He reports no alarm symptoms such as dysphagia, weight loss, or anaemia. What is the most appropriate initial management in primary care?