Question

A 46 year old man presents with epigastric pain relieved by food and antacids. He has no alarm features and no NSAID use. Helicobacter pylori serology or stool antigen testing is positive. According to current management strategies, what is the most appropriate next step?

Accepted Answer

14 day triple therapy with proton pump inhibitor, amoxicillin and clarithromycin

Answer

Long term proton pump inhibitor monotherapy

Answer

Immediate upper GI endoscopy for all cases

Answer

H2 receptor antagonist monotherapy

Answer

Watchful waiting without treatment

Practice question

A 46 year old man presents with epigastric pain relieved by food and antacids. He has no alarm features and no NSAID use. Helicobacter pylori serology or stool antigen testing is positive. According to current management strategies, what is the most appropriate next step?