Question

A 61-year-old with GERD symptoms without alarm features (no weight loss, dysphagia, bleeding) has symptoms 4 days/week. What is the recommended initial management?

Accepted Answer

Eight-week trial of once-daily PPI before breakfast

Answer

Upper endoscopy now

Answer

H₂ blocker only as needed

Answer

Antireflux surgery referral

Answer

Bismuth quadruple therapy

Practice question

A 61-year-old with GERD symptoms without alarm features (no weight loss, dysphagia, bleeding) has symptoms 4 days/week. What is the recommended initial management?