Several Weeks Of Burning in Medicine / Internal Medicine — Case | Gastroenterology | SMLE Q#11520

SMLE Question #11520

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

A 22-year-old primigravida at 26 weeks’ gestation presents with several weeks of burning retrosternal discomfort that occurs mainly at night after dinner when she lies down. The pain is non-radiating and not associated with nausea, vomiting, dysphagia, weight loss, or abdominal pain. She has had partial relief with over-the-counter antacid syrup. Physical examination is unremarkable. Which of the following is the best next step in management?

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