Question

A 36-year-old with typical GERD symptoms and no alarm features asks for management. What is the recommended initial approach?

Accepted Answer

Empiric once-daily PPI 30-60 minutes before a meal for 8 weeks

Answer

Order EGD immediately

Answer

Start H2-blocker only at bedtime for 4 weeks

Answer

Test-and-treat H. pylori first in all GERD

Answer

Start metoclopramide long term

Practice question

A 36-year-old with typical GERD symptoms and no alarm features asks for management. What is the recommended initial approach?