6 Months in Pediatrics — 12yo Child | Pediatric Gastroenterology | SMLE Q#12034
SMLE Question #12034
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 12-year-old boy has intermittent epigastric burning pain for 6 months, occurring several times per week. Symptoms are worse after large meals and when lying down, and he sometimes has a sour taste in his mouth. He has normal appetite and growth, no dysphagia, no bilious vomiting, no gastrointestinal bleeding, and no chronic diarrhea. Physical examination is unremarkable. What is the most appropriate initial management?
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