A 42-year-old with long-standing reflux presents with dysphagia. What is the appropriate next step?...

Question

A 42-year-old with long-standing reflux presents with dysphagia. What is the appropriate next step?

Accepted Answer

Immediate urgent upper GI endoscopy (2-week wait)

Answer

Trial of high-dose PPI for 8 weeks then refer if persistent

Answer

H. pylori urea breath test first

Answer

Barium swallow only

Answer

Reassure and review in 3 months

mrcgp akt MCQ (SBA): Alarm Features in Dyspepsia