Question

A 58-year-old man taking regular ibuprofen for osteoarthritis presents with epigastric pain and melena. Gastroscopy confirms a bleeding duodenal ulcer with a visible vessel, which is treated endoscopically. H. pylori testing is positive. What is the most appropriate long-term management strategy?

Accepted Answer

Stop NSAIDs, eradicate H. pylori and give proton pump inhibitor for 8 weeks

Answer

Continue NSAIDs and add antacids as required

Answer

Switch from NSAIDs to low-dose aspirin

Answer

H. pylori eradication alone is sufficient

Answer

Start long-term corticosteroids for ulcer healing

Practice question

A 58-year-old man taking regular ibuprofen for osteoarthritis presents with epigastric pain and melena. Gastroscopy confirms a bleeding duodenal ulcer with a visible vessel, which is treated endoscopically. H. pylori testing is positive. What is the most appropriate long-term management strategy?