A 40-year-old man presents with a 6-month history of intermittent epigastric pain, which is worse at night and relieved by food or antacids. He is a s...

Question

A 40-year-old man presents with a 6-month history of intermittent epigastric pain, which is worse at night and relieved by food or antacids. He is a smoker and drinks 20 units of alcohol per week. He has tried over-the-counter antacids with minimal relief. What is the most appropriate next step in management?

Accepted Answer

Test for Helicobacter pylori and treat if positive

Answer

Prescribe a proton pump inhibitor (PPI) for 4 weeks

Answer

Refer for urgent upper GI endoscopy

Answer

Advise lifestyle changes only

Answer

Prescribe a H2 receptor antagonist

mrcgp akt MCQ (SBA): Dyspepsia