06/23/2026
A 55-year-old male presents with upper epigastric discomfort that began earlier today. He has not had any fever, chills, cough, palpitations, shortness of breath, presyncopal symptoms, or radiation of the discomfort to his neck, back, or upper extremities. He has had mild nausea but has not vomited, and his bowel habits have been unchanged. His vital signs, an EKG, serum troponin levels, a comprehensive metabolic panel, and a CBC are all within normal limits and you suspect dyspepsia as the source of his symptoms.
Which one of the following would you prescribe?
A. Oral H2 blocker therapy
B. Oral antacid monotherapy
C. A mixture of an oral antacid and a liquid lidocaine (Xylocaine) solution
D. A mixture of an oral antacid and viscous lidocaine
E. A mixture of an oral antacid and an antispasmodic such as phenobarbital/hyoscyamine/atropine/scopolamine (Donnatal)