A 50-year-old man presents with a 6-month history of epigastric pain, early satiety and unintentional weight loss of 8 kg. He is a smoker and drinks a...

Question

A 50-year-old man presents with a 6-month history of epigastric pain, early satiety and unintentional weight loss of 8 kg. He is a smoker and drinks alcohol regularly. Examination reveals epigastric tenderness. According to Australian dyspepsia guidelines, what is the most appropriate next step in management?

Accepted Answer

Arrange urgent upper gastrointestinal endoscopy

Answer

Empirical proton pump inhibitor therapy for 4 weeks without further investigation

Answer

Test and treat for Helicobacter pylori only

Answer

Order abdominal ultrasound only

Answer

Reassure and review in 3 months

au-amc MCQ (SBA): Dyspepsia with alarm features