A. Continue gaviscon

B. Treat with a proton pump inhibitor (PPI) at half dose for 1 month

C. Refer for gastroscopy

D. 2 week wait referral

E. Treat with a proton pump inhibitor (PPI) at full dose for 1 month

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The correct answer is E.

• This patient has presented with dyspepsia without any alarm features and also she is not on any drugs that could precipitate her symptoms, therefore she should be advised regarding lifestyle factors and then either given a full dose proton pump inhibitor(PPI) for 1 month, or she should be tested and treated for Helicobacter pylori.

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