Question

A 46-year-old woman with typical GERD has persistent symptoms despite taking omeprazole at bedtime. Next best step?

Accepted Answer

Take PPI 30-60 minutes before breakfast and consider BID dosing if needed

Answer

Stop PPI and switch to H2RA at night only

Answer

Order barium esophagram first

Answer

Add sucralfate routinely

Answer

Proceed directly to anti-reflux surgery evaluation

Practice question

A 46-year-old woman with typical GERD has persistent symptoms despite taking omeprazole at bedtime. Next best step?