An otherwise normal female presents with symptoms of flatulent dyspepsia. She was started on proton pump inhibitors, which controlled her symptoms. The next step in management of this condition should be:
Ans. (c) Wait and Watch* This patient has history of Flatulent Dyspepsia relieved by PPI* Flatulent dyspepsia may be caused by both Peptic ulcer disease and gall stones.* Ideal thing is to do Endoscopy to rule out Peptic ulcers.* Wait and watch will be the best option here.
Immediate laparoscopic cholecystectomy
Laparotomy after 1 or 2 month
Wait and watch
ERCP
Gall Bladder & Bile Ducts