Question

A 45 year old man presents with several months of retrosternal burning after meals and when lying flat at night, relieved by antacids. He has no weight loss, dysphagia, vomiting or gastrointestinal bleeding. What is the most appropriate initial management in general practice?

Accepted Answer

Commence a trial of daily proton pump inhibitor therapy and lifestyle measures

Answer

Arrange urgent gastroscopy

Answer

Start long term high dose non steroidal anti inflammatory drugs

Answer

Start metoclopramide alone

Answer

Reassure without treatment

Practice question

A 45 year old man presents with several months of retrosternal burning after meals and when lying flat at night, relieved by antacids. He has no weight loss, dysphagia, vomiting or gastrointestinal bleeding. What is the most appropriate initial management in general practice?