Question

A 52-year-old woman presents with retrosternal burning and sour taste, worse after meals, without alarm features. What is the most appropriate initial management?

Accepted Answer

Upper endoscopy now

Answer

8-week trial of a once-daily proton pump inhibitor

Answer

Start H2 blocker only as needed

Answer

Barium swallow first

Answer

Test for H. pylori and treat if positive without PPI

Practice question

A 52-year-old woman presents with retrosternal burning and sour taste, worse after meals, without alarm features. What is the most appropriate initial management?