Question

A 49-year-old with classic heartburn and regurgitation without alarm features seeks care. What is the recommended initial approach?

Accepted Answer

8-week trial of once-daily PPI before meals

Answer

Upper endoscopy immediately to rule out Barrett's oesophagus

Answer

Barium swallow

Answer

H2 blocker as sole therapy for 12 weeks

Answer

pH-impedance monitoring first

Practice question

A 49-year-old with classic heartburn and regurgitation without alarm features seeks care. What is the recommended initial approach?