Snapshot A 26-year-old woman presents to her physician’s office for persistent epigastric pain, especially after eating meals. She also reports having significant bloating. She denies any unintentional weight loss, vomiting, or dysphagia. She is started on a proton pump inhibitor. Four weeks later, she returns for follow-up with significant improvement of symptoms. Presentation Clinical definition login to view 1 more bullet Associated conditions login to view 3 more bullets Epidemiology Demographics login to view 1 more bullet Risk factors login to view 3 more bullets ETIOLOGY Pathogenesis login to view 1 more bullet Presentation Symptoms login to view 5 more bullets Physical exam login to view 1 more bullet IMAGING Endoscopy login to view 11 more bullets Studies Helicobacter pylori testing login to view 2 more bullets Differential Peptic ulcer disease login to view 3 more bullets DIAGNOSIS Diagnostic testing login to view 2 more bullets Treatment First-line login to view 8 more bullets Conservative login to view 4 more bullets Complications Decreased quality of life