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What is the most appropriate recommendation for management

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Question: A 52-year-old male patient presents to his primary care physician and reports bothersome heartburn symptoms for the last 4 months with occasional regurgitation. The patient reports that the heartburn symptoms are occurring most days of the week. He denies dysphagia/odynophagia, stomach pain or signs of GI bleeding. The patient is happy to report that he has lost 5 pounds in the last several months after making significant changes in his lifestyle and diet (avoiding foods he felt made his reflux worst) however he is still having symptoms. What is the most appropriate recommendation for management of the patient's heartburn symptoms? a. Initiate omeprazole 20 mg daily b. Encourage additional lifestyle modifications (ie: calorie restriction) c. Perform endoscopy d. Initiate omeprazole 20 mg twice daily e. Recommend antireflux surgery

Reference no: EM133607903

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