A 60-year-year-old man presents with chronic heartburn and regurgitation for 5 years. He uses over-the-counter antacids daily. He has no alarm feature...

Question

A 60-year-year-old man presents with chronic heartburn and regurgitation for 5 years. He uses over-the-counter antacids daily. He has no alarm features (no dysphagia, weight loss, anaemia, or GI bleeding). According to best practice, what is the most appropriate initial management?

Accepted Answer

Empiric trial of once-daily PPI plus lifestyle modification

Answer

Immediate upper endoscopy in all patients with heartburn

Answer

Long-term high-dose steroids

Answer

H pylori eradication therapy without testing

Answer

Reassurance only with no treatment

ca-mccqe1 MCQ (SBA): Gastro-oesophageal reflux disease

A 60-year-year-old man presents with chronic heartburn and regurgitation for 5 years. He uses over-the-counter antacids daily. He has no alarm features (no dysphagia, weight loss, anaemia, or GI bleeding). According to best practice, what is the most appropriate initial management?