Which of the following is the best next step in the management of a 22-year-old pregnant woman with heartburn? Start pantoprazole, ambulatory pH testing, lifestyle modifications, o... Which of the following is the best next step in the management of a 22-year-old pregnant woman with heartburn? Start pantoprazole, ambulatory pH testing, lifestyle modifications, or perform upper endoscopy?
Understand the Problem
The question is asking about the best next step in the management of a pregnant woman experiencing heartburn symptoms, specifically considering various treatment options in this context.
Answer
Lifestyle modifications.
The best next step is lifestyle modifications.
Answer for screen readers
The best next step is lifestyle modifications.
More Information
For pregnant women experiencing heartburn, it is recommended to start with lifestyle and dietary modifications, as these are non-invasive and often effective. Pharmacological treatments are typically considered only if these measures are insufficient.
Tips
A common mistake is jumping to medications like proton pump inhibitors without first trying less invasive options like lifestyle changes, especially in pregnancy.
Sources
- The management of heartburn in pregnancy - PubMed - pubmed.ncbi.nlm.nih.gov
- Long term medical management of gastro-esophageal reflux disease - tropicalgastro.com
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