Question

A 42-year-old man has episodic heartburn and regurgitation, especially after large meals. There is no dysphagia or alarming features. According to NICE guidelines, what is the first-line management for his symptoms?

Accepted Answer

Start a proton pump inhibitor (PPI) at the lowest effective dose

Answer

Immediate upper GI endoscopy

Answer

High-dose H2 receptor antagonist

Answer

Lifestyle modifications only

Answer

Urgent referral for surgical fundoplication

Practice question

A 42-year-old man has episodic heartburn and regurgitation, especially after large meals. There is no dysphagia or alarming features. According to NICE guidelines, what is the first-line management for his symptoms?