A 44-year-old man reports burning retrosternal discomfort after large meals and when lying down. He has no dysphagia, weight loss, vomiting,

Question

A 44-year-old man reports burning retrosternal discomfort after large meals and when lying down. He has no dysphagia, weight loss, vomiting, gastrointestinal bleeding, or anemia. Which of the following would you advise this patient?

Accepted Answer

Begin an 8-week proton pump inhibitor trial

Answer

Schedule esophageal manometry first

Answer

Order immediate upper endoscopy

Answer

Start empiric triple therapy for Helicobacter pylori

Answer

Begin long-term opioid therapy

GERD — ABFM Board MCQ

A 44-year-old man reports burning retrosternal discomfort after large meals and when lying down. He has no dysphagia, weight loss, vomiting, gastrointestinal bleeding, or anemia. Which of the following would you advise this patient?