A 52-year-old with classic heartburn/regurgitation without alarm features asks about initial management. Best next step?...

Question

A 52-year-old with classic heartburn/regurgitation without alarm features asks about initial management. Best next step?

Accepted Answer

8-week trial of once-daily PPI before a meal

Answer

Upper endoscopy now

Answer

Ambulatory pH study now

Answer

Long-term PPI indefinitely without trial

Answer

H2 blocker as sole therapy for 2 weeks then stop

us-abfm MCQ (SBA): GERD