A 45-year-old man presents with intermittent epigastric pain relieved by eating, positive H. pylori breath test, and no alarm symptoms. What is the most appropriate initial treatment?
-
A
Omeprazole alone for 8 weeks
-
B
Triple therapy (PPI + clarithromycin + amoxicillin) for 14 days
-
C
H2 blocker for 4 weeks
-
D
Immediate upper endoscopy