Question

A 54-year-old with gastro-oesophageal reflux disease has been on a proton pump inhibitor (PPI) for several years. He presents with increasing dysphagia and odynophagia. What is the most appropriate next step in management?

Accepted Answer

Refer for urgent upper GI endoscopy

Answer

Double the dose of PPI

Answer

Test for H. pylori and treat if positive

Answer

Prescribe a prokinetic agent

Answer

Advise lifestyle modifications only

Practice question

A 54-year-old with gastro-oesophageal reflux disease has been on a proton pump inhibitor (PPI) for several years. He presents with increasing dysphagia and odynophagia. What is the most appropriate next step in management?