A 45-year-old woman with chronic gastro-oesophageal reflux disease has typical heartburn and regurgitation several times per week despite lifestyle me...

Question

A 45-year-old woman with chronic gastro-oesophageal reflux disease has typical heartburn and regurgitation several times per week despite lifestyle measures and antacids. She has no red flag symptoms. According to current guidelines, what is the most appropriate next step?

Accepted Answer

Start a trial of once-daily proton pump inhibitor therapy

Answer

Arrange urgent upper GI endoscopy within 24 hours

Answer

Commence long-term H₂ receptor antagonist alone

Answer

Refer immediately for anti-reflux surgery

Answer

Start Helicobacter pylori eradication therapy empirically

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

A 45-year-old woman with chronic gastro-oesophageal reflux disease has typical heartburn and regurgitation several times per week despite lifestyle measures and antacids. She has no red flag symptoms. According to current guidelines, what is the most appropriate next step?