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. 2026 Mar 24;44(3):235–248. doi: 10.1159/000551414

Fig. 3.

Patients presenting with reflux-like symptoms should be asked questions to identify any alarm symptoms, if they are pregnant or breastfeeding and to assess the type and frequency of symptoms. All patients should be given evidence-based lifestyle advice and nonprescription treatments should be recommended based on their symptom pattern and treatment priority.

Algorithm for tailored self-management of reflux-like symptoms in treatment-naïve patients. H2RA, histamine-2 receptor antagonist; PPI, proton pump inhibitor.