Question

A 33-year-old with typical heartburn without alarm features has had symptoms ≥3 times per week. What is the recommended initial diagnostic/therapeutic approach?

Accepted Answer

8-week trial of a once-daily PPI before further testing

Answer

Upper endoscopy for all patients with typical symptoms

Answer

24-hour pH impedance monitoring off therapy as first test

Answer

Barium swallow to confirm GERD

Answer

Prokinetic therapy as first-line

Practice question

A 33-year-old with typical heartburn without alarm features has had symptoms ≥3 times per week. What is the recommended initial diagnostic/therapeutic approach?