GERD/Heartburn

Alarm features: patient denies hematemesis, melena, hematochezia, anorexia, unexplained weight loss, dysphagia, odynophagia, persistent vomiting. 

A/P:

Patient does not have any alarm features (>60 years of age, no first degree relative w/GI malignancy, evidence of iron deficiency anemia, GI bleeding, anorexia, dysphagia, odynophagia, or persistent vomiting). 

Due to absence of alarm features, will initiate a 2 month trial of PPI and closely monitor patient for improvement