Question

A 50-year-old woman presents with persistent heartburn and regurgitation symptoms despite taking omeprazole 20mg OD for 8 weeks. She has no alarm symptoms. What is the most appropriate next step in management according to NICE guidelines?

Accepted Answer

Double the dose of omeprazole to 20mg BD or 40mg OD

Answer

Refer for upper GI endoscopy

Answer

Switch to ranitidine

Answer

Add Gaviscon Advance PRN

Answer

Test for Helicobacter pylori

Practice question

A 50-year-old woman presents with persistent heartburn and regurgitation symptoms despite taking omeprazole 20mg OD for 8 weeks. She has no alarm symptoms. What is the most appropriate next step in management according to NICE guidelines?