4 Months Of Burning in Medicine / Internal Medicine — 30yo Man | Gastroenterology | SMLE Q#11662
SMLE Question #11662
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 30-year-old man presents to an outpatient clinic with 4 months of burning epigastric pain occurring 1–2 hours after meals and at night when lying down. He reports partial relief with over-the-counter antacids. He denies unintentional weight loss, persistent vomiting, melaena, haematemesis, dysphagia, or odynophagia. He has no family history of upper gastrointestinal malignancy and has not been evaluated previously for this problem. Examination shows mild epigastric tenderness without guarding or masses. What is the most appropriate next step in management?
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