A 45-year-old man with chronic heartburn three times per week presents to his GP. He has occasional dysphagia and has lost 5 kg unintentionally over 3...

Question

A 45-year-old man with chronic heartburn three times per week presents to his GP. He has occasional dysphagia and has lost 5 kg unintentionally over 3 months. He has been using over-the-counter antacids. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent upper gastrointestinal endoscopy

Answer

Commence long-term proton pump inhibitor without further investigation

Answer

Order Helicobacter pylori serology

Answer

Provide lifestyle advice only and review in 6 months

Answer

Start H2-receptor antagonist and review in 3 months

au-amc MCQ (SBA): Gastro-oesophageal reflux disease with alarm features

A 45-year-old man with chronic heartburn three times per week presents to his GP. He has occasional dysphagia and has lost 5 kg unintentionally over 3 months. He has been using over-the-counter antacids. What is the most appropriate next step in management?