A 36-year-old woman presents with 3 months of epigastric pain relieved by food and antacids, with occasional night waking. She is otherwise well. Ther...

Question

A 36-year-old woman presents with 3 months of epigastric pain relieved by food and antacids, with occasional night waking. She is otherwise well. There are no alarm features such as weight loss, anaemia, vomiting or dysphagia. She is H. pylori positive on urea breath test. What is the most appropriate next step?

Accepted Answer

Start H. pylori eradication therapy with PPI, amoxicillin and clarithromycin

Answer

Reassure only and give antacids as required

Answer

Arrange urgent upper GI endoscopy

Answer

Start long-term NSAID therapy

Answer

Arrange CT abdomen

uk-plab-1 MCQ (SBA): H. pylori-associated dyspepsia