Question

A 55-year-old woman presents with long-standing heartburn and acid regurgitation, partially relieved by antacids. There are no alarm symptoms. According to NICE dyspepsia guidance, what is the most appropriate initial management?

Accepted Answer

Test for Helicobacter pylori and treat if positive

Answer

Urgent endoscopy

Answer

Routine CT scan of abdomen

Answer

Long-term high-dose proton pump inhibitor without review

Answer

Reassure and offer no treatment

Practice question

A 55-year-old woman presents with long-standing heartburn and acid regurgitation, partially relieved by antacids. There are no alarm symptoms. According to NICE dyspepsia guidance, what is the most appropriate initial management?