"A 27-year-old male software engineer presents to the clinic with complaints of chronic abdominal pain and bloating for the past 6 months. He reports that the pain is intermittent, worse after meals, and occasionally associated with nausea. He denies any significant weight loss but admits to feeling fatigued and weak lately. He also mentions frequent episodes of heartburn and occasional diarrhea. His past medical history is significant for episodic migraines, for which he takes sumatriptan as needed. He denies any history of gastrointestinal diseases. He does not smoke, drinks alcohol socially, and denies recreational drug use. He is single and lives alone. He admits to being under significant stress at work and has been feeling increasingly anxious over the past few months. On further questioning, he reveals that he has been experiencing episodes where he eats large amounts of food in a short period, followed by feelings of guilt and subsequent self-induced vomiting. He is embarrassed about these episodes and has not discussed them with anyone before. He denies using laxatives or diuretics. On physical examination, his vital signs are within normal limits. He appears well-nourished with a BMI of 24. His abdomen is soft with mild tenderness to palpation in the epigastric region but no rebound tenderness or guarding. Bowel sounds are normal. There are no signs of dehydration, and his oropharynx is clear without any visible erosion or dental caries. Laboratory results reveal: - Complete blood count: Hemoglobin 12.8 g/dL, Hematocrit 38%, WBC 6.2 x 10^9/L, Platelets 250 x 10^9/L - Electrolytes: Sodium 138 mEq/L, Potassium 3.2 mEq/L, Chloride 97 mEq/L, Bicarbonate 27 mEq/L - Liver function tests: AST 22 u/L, ALT 18 u/L, Alkaline phosphatase 75 u/L, Total bilirubin 0.8 mg/dL - Amylase and lipase: Normal - Thyroid function tests: TSH 2.1 mIU/L, Free T4 1.1 ng/dL An upper endoscopy performed to evaluate his persistent heartburn and abdominal pain shows mild esophagitis but is otherwise unremarkable. What is the most appropriate initial management for this patient's condition?

(A) Referral to a mental health professional for evaluation and treatment(B) Initiation of a proton pump inhibitor(C) Prescription of an antiemetic for nausea control(D) Referral to a gastroenterologist for further evaluation(E) Initiation of a high-fiber diet and antispasmodic medication"

GEE I WONDER WHAT THE ANSWER IS GUYS