Question

A 52-year-old man presents with a 6-week history of epigastric pain and bloating after meals. He has no alarm symptoms (weight loss, dysphagia, vomiting, anaemia). He has not previously taken NSAIDs. What is the most appropriate initial management strategy according to NICE guidelines?

Accepted Answer

Test for Helicobacter pylori and treat if positive

Answer

Urgent referral for endoscopy (2-week wait)

Answer

Routine referral for endoscopy

Answer

Trial of full-dose Proton Pump Inhibitor (PPI) for 4 weeks

Answer

Lifestyle advice only

Practice question

A 52-year-old man presents with a 6-week history of epigastric pain and bloating after meals. He has no alarm symptoms (weight loss, dysphagia, vomiting, anaemia). He has not previously taken NSAIDs. What is the most appropriate initial management strategy according to NICE guidelines?