Question

A 48-year-old man with dyspepsia without alarm features has a positive urea breath test for Helicobacter pylori. What is the most appropriate next step?

Accepted Answer

Eradication therapy: PPI + amoxicillin + clarithromycin 7 days

Answer

PPI alone for 4 weeks

Answer

H2 receptor antagonist for 8 weeks

Answer

Empirical long-term PPI without antibiotics

Answer

Immediate endoscopy for all cases

Practice question

A 48-year-old man with dyspepsia without alarm features has a positive urea breath test for Helicobacter pylori. What is the most appropriate next step?