35-year-old Man in Medicine / Internal Medicine — 35yo Man | Gastroenterology | SMLE Q#11106
SMLE Question #11106
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 35-year-old man reports several months of burning retrosternal discomfort, worse after meals and when lying down at night. He denies weight loss, dysphagia, odynophagia, vomiting, or gastrointestinal bleeding. His father had gastric cancer at age 47, and the patient is anxious about malignancy. Physical examination is normal. What is the most appropriate initial advice to help manage his symptoms?
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