Question

A 35-year-old woman presents with burning epigastric pain relieved by eating and occasional reflux symptoms. She has no alarm features, takes intermittent NSAIDs for headaches, and has a negative pregnancy test. What is the most appropriate initial management in primary care?

Accepted Answer

Test-and-treat approach for Helicobacter pylori using a non-invasive test

Answer

Immediate upper endoscopy for all patients with dyspepsia

Answer

Start long-term proton pump inhibitor therapy indefinitely without further evaluation

Answer

Start a prokinetic agent alone

Answer

Refer urgently for surgical consultation

Practice question

A 35-year-old woman presents with burning epigastric pain relieved by eating and occasional reflux symptoms. She has no alarm features, takes intermittent NSAIDs for headaches, and has a negative pregnancy test. What is the most appropriate initial management in primary care?