A 48-year-old woman presents with episodic retrosternal burning after meals. She denies alarm features such as dysphagia, weight loss, or anaemia. Wha...

Question

A 48-year-old woman presents with episodic retrosternal burning after meals. She denies alarm features such as dysphagia, weight loss, or anaemia. What is the most appropriate initial management strategy?

Accepted Answer

Empiric trial of a proton pump inhibitor for 4-8 weeks with lifestyle advice

Answer

Immediate upper endoscopy in all patients

Answer

Barium swallow for all patients

Answer

Test-and-treat H. pylori as the only strategy

Answer

No treatment is needed because symptoms are benign

ca-mccqe1 MCQ (SBA): Gastro-oesophageal reflux disease

A 48-year-old woman presents with episodic retrosternal burning after meals. She denies alarm features such as dysphagia, weight loss, or anaemia. What is the most appropriate initial management strategy?