Aella is a 27-year-old healthy female graduate student who i…
Aella is a 27-year-old healthy female graduate student who initially presented 12 weeks ago with a 6-month history of episodic postprandial epigastric burning. At that time, she reported increased coffee and fast food intake due to stress. You started her on an 8-week trial of omeprazole (PPI) for suspected GERD, which she completed but without improvement. She discontinued the medication one month ago. She denies dysphagia, odynophagia, weight loss, GI bleeding, or anemia. Her physical exam is unremarkable. What is the most appropriate next step in her management?
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