Question

A 55-year-old man presents with persistent epigastric pain relieved by food and nocturnal symptoms. He has no alarm features. According to Canadian dyspepsia guidelines in a low H. pylori prevalence setting, what is the preferred initial approach?

Accepted Answer

Empiric PPI trial or non-invasive H. pylori test-and-treat

Answer

Immediate endoscopy for all patients

Answer

Long-term NSAIDs

Answer

Empiric antibiotics for H. pylori without testing

Answer

No treatment

Practice question

A 55-year-old man presents with persistent epigastric pain relieved by food and nocturnal symptoms. He has no alarm features. According to Canadian dyspepsia guidelines in a low H. pylori prevalence setting, what is the preferred initial approach?