A 52-year-old woman with a BMI of 32 kg/m² presents with heartburn and acid regurgitation occurring 3-4 times a week for the past 3 months, often wors...

Question

A 52-year-old woman with a BMI of 32 kg/m² presents with heartburn and acid regurgitation occurring 3-4 times a week for the past 3 months, often worse after large meals and when lying down. She has tried over-the-counter antacids with minimal relief. She has no alarm symptoms. What is the most appropriate initial management according to NICE NG1?

Accepted Answer

Offer a full-dose PPI for 4 weeks

Answer

Refer for endoscopy

Answer

Offer an H2 receptor antagonist (H2RA) for 4 weeks

Answer

Lifestyle advice only

Answer

Test for Helicobacter pylori and treat if positive

mrcgp akt MCQ (SBA): Gastro-Oesophageal Reflux Disease (GORD)