Question

A 45-year-old man has retrosternal burning pain after meals and on lying flat. He has been using over-the-counter antacids with partial relief. There are no alarming features. What is the best initial management step?

Accepted Answer

Trial of proton pump inhibitor for 4 weeks

Answer

Immediate upper GI endoscopy

Answer

Test for H. pylori and treat if positive

Answer

Prescribe H2 receptor antagonist

Answer

Barium swallow

Practice question

A 45-year-old man has retrosternal burning pain after meals and on lying flat. He has been using over-the-counter antacids with partial relief. There are no alarming features. What is the best initial management step?