A 33-year-old woman with a BMI of 24 kg/m² presents with frequent heartburn and regurgitation, particularly after large meals and when lying flat. She...

Question

A 33-year-old woman with a BMI of 24 kg/m² presents with frequent heartburn and regurgitation, particularly after large meals and when lying flat. She has no alarm features. What is the MOST appropriate initial management?

Accepted Answer

Empiric proton pump inhibitor therapy plus lifestyle modifications

Answer

Immediate referral for endoscopy

Answer

H2 blocker only and no lifestyle advice

Answer

Helicobacter pylori eradication therapy

Answer

Long-term prokinetic therapy as first-line

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

A 33-year-old woman with a BMI of 24 kg/m² presents with frequent heartburn and regurgitation, particularly after large meals and when lying flat. She has no alarm features. What is the MOST appropriate initial management?