A 50-year-old man presents with epigastric pain relieved by eating and returning a few hours later. He regularly takes non-steroidal anti-inflammatory...

Question

A 50-year-old man presents with epigastric pain relieved by eating and returning a few hours later. He regularly takes non-steroidal anti-inflammatory drugs for osteoarthritis. There are no red-flag features. What is the MOST appropriate initial management in general practice?

Accepted Answer

Start a proton pump inhibitor (PPI) and review response; test for Helicobacter pylori if symptoms persist or recur

Answer

Arrange urgent upper gastrointestinal endoscopy

Answer

Start long-term NSAIDs plus PPI

Answer

Commence empirical triple therapy for H. pylori without testing

Answer

Prescribe long-term high-dose antacids only

au-racgp MCQ (SBA): Peptic ulcer disease / dyspepsia

A 50-year-old man presents with epigastric pain relieved by eating and returning a few hours later. He regularly takes non-steroidal anti-inflammatory drugs for osteoarthritis. There are no red-flag features. What is the MOST appropriate initial management in general practice?