Your patient is a 65 year old female who has severe osteoarthritis for which she takes Naproxen 500 mg BID. At her regular follow-up visit, the patient's complaints are acid reflux and nausea that occurs approximately 3 times per week. Her last colonoscopy was 2 years ago and she was told at that time to have her next colonoscopy in 10 years. She denies weight loss, vomiting, or melena. She has no known drug allergies. What would be the most appropriate plan?
Group of answer choices
O Tell the patient she has an H. pylori infection and prescribe her a standard dose proton pump inhibitor BID, amoxicillin 1,000 mg BID, and clarithromycin 500 mg BID for 14 days.
O Have the patient follow up in 2-4 weeks Stop NSAID and prescribe Hydrocodone/APAP 5/325 one po BID as needed for severe pain. Order CBC and CMP (metabolic profile).
O Stop Naproxen with a trial of maximum dose Tylenol. Start PPI daily with follow up in 2-3 weeks.
O Tell the patient to continue taking the Naproxen and take generic Famotidine as needed. Ask the patient to follow up in 3 months and as usual. Call back if reflux persists.