A 32-year-old woman with dyspepsia has 4-week post-eradication H. pylori breath test negative after triple therapy. Persistent symptoms without alarm ...

Question

A 32-year-old woman with dyspepsia has 4-week post-eradication H. pylori breath test negative after triple therapy. Persistent symptoms without alarm features. Next step?

Accepted Answer

Test for coeliac disease

Answer

Long-term PPI at full dose

Answer

Refer for urgent OGD

Answer

Start metoclopramide long term

Answer

Add amitriptyline 25 mg immediately

ukmla MCQ (SBA): Dyspepsia

A 32-year-old woman with dyspepsia has 4-week post-eradication H. pylori breath test negative after triple therapy. Persistent symptoms without alarm features. Next step?