An otherwise normal female presents with symptoms of flatulent dyspepsia. She was staed on proton pump inhibitors, which controlled her symptoms. The next step in management of this condition should be:
A Flatulent dyspepsia is usually a symptom of Gall stone disease but if it responds to a proton pump inhibitors then it is more likely to result from reflux or peptic ulcer disease. Ref: Current Diagnosis and Treatment in Gastroenterology, 2002, Page 774; Non-ulcer Dyspepsia: Pathophysiological and Therapeutic Approaches By J. P. Galmiche; Harrison's Internal Medicine, 17th Edition, Page 1899
Immediate laparoscopic cholecstectomy
Laparotomy after 1 or 2 months
Wait and watch
Endoscopic retrograde cholangiopancreatography