Your next patient is a 52-year-old female patient with a BMI…
Your next patient is a 52-year-old female patient with a BMI of 31.5. She drinks 1-2 alcoholic beverages/day, 2-4 cups of coffee/day and eats fatty foods 3x/week. She smokes ½ pack of cigarettes/day. Her medication list includes asa 325 mg PO every day and Advil PRN as needed for pain. She states that she has had frequent recurrent epigastric pain and burning sensation for the past few months. She describes the pain as occurring mostly after meals and sometimes it wakes her up during the middle of the night. She occasionally experiences regurgitation of a sour-tasting fluid. She denies dysphagia, weight loss, or blood in her stool. PE findings were unremarkable. What is the most appropriate initial management for this patient?