Results
A 42-year-old man presents to the clinic with 5 months of retrosternal burning and sour taste in his mouth, especially after large evening meals. He denies dysphagia, odynophagia, hematemesis, or weight loss. He occasionally awakens at night with a sensation of fluid in his throat. He takes ibuprofen 600 mg for back pain several times weekly and drinks 3 cups of coffee daily.
He has no prior GI procedures.
Vitals: BP 128/76 mmHg, HR 78 bpm, BMI 31 kg/m². Physical exam is unremarkable. Labs including CBC and basic metabolic panel are normal.
He has tried lifestyle measures (avoiding spicy foods, elevating head of bed) with minimal benefit. He has not yet used prescription medications.