This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
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: 
Select and explain. 
A. Immediate laparoscopic cholecstectomy, B. Laparotomy after 1 or 2 months, C. Wait and watch, D. Endoscopic retrograde cholangiopancreatography
C: Wait and watch
Answer: C: Wait and watch 
Explanation: 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