At Least 3 Hours in Medicine / Internal Medicine — 45yo Woman | Gastroenterology | SMLE Q#11642
SMLE Question #11642
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 45-year-old woman has 6 months of burning retrosternal discomfort worse after large meals and when lying down at night. She reports sour-tasting fluid in her mouth several times per week and occasional regurgitation when bending over. Over-the-counter antacids provide only brief relief. Her BMI is 23 kg/m², and she avoids eating for at least 3 hours before bedtime, but nocturnal symptoms persist. Which of the following is the most appropriate advice to give this patient?
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