Chronic Headaches in Medicine / Internal Medicine — 34yo Woman | Gastroenterology | SMLE Q#18745
SMLE Question #18745
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: March 2026
A 34-year-old woman has 3 weeks of burning epigastric pain worse 1–2 hours after meals and at night. She frequently uses ibuprofen for chronic headaches. She denies hematemesis, melena, weight loss, dysphagia, or persistent vomiting. Upper endoscopy shows a 1-cm clean-based duodenal bulb ulcer without active bleeding; gastric biopsies for Helicobacter pylori are sent and results are pending. What is the most appropriate next step in management?
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