Question

A 35-year-old woman presents with epigastric burning pain related to meals and improved by antacids. She uses NSAIDs regularly for headaches. According to dyspepsia management guidelines, which initial strategy is most appropriate?

Accepted Answer

Empiric proton pump inhibitor therapy and review NSAID use, with endoscopy reserved for alarm features

Answer

Immediate upper endoscopy in all patients <60 years

Answer

H2 blocker only and continued NSAID use

Answer

No treatment is required

Answer

Long-term opioids for pain control

Practice question

A 35-year-old woman presents with epigastric burning pain related to meals and improved by antacids. She uses NSAIDs regularly for headaches. According to dyspepsia management guidelines, which initial strategy is most appropriate?