A 42-year-old woman with typical gastro-oesophageal reflux symptoms (heartburn and regurgitation) for 4 months has no alarm features such as weight lo...

Question

A 42-year-old woman with typical gastro-oesophageal reflux symptoms (heartburn and regurgitation) for 4 months has no alarm features such as weight loss, dysphagia or anaemia. What is the most appropriate initial management?

Accepted Answer

Start a proton pump inhibitor once daily and implement lifestyle measures

Answer

Arrange urgent upper endoscopy

Answer

Start long-term H₂-receptor antagonist therapy without review

Answer

No treatment; reassure that reflux is benign

Answer

Refer for Nissen fundoplication

au-racgp MCQ (SBA): Gastro-oesophageal reflux disease

A 42-year-old woman with typical gastro-oesophageal reflux symptoms (heartburn and regurgitation) for 4 months has no alarm features such as weight loss, dysphagia or anaemia. What is the most appropriate initial management?