Question

A 50-year-old man presents with progressive solid-food dysphagia but no weight loss or anaemia. He smokes and drinks alcohol heavily. What is the most appropriate next step?

Accepted Answer

Urgent upper endoscopy to exclude malignancy

Answer

Trial of high-dose proton pump inhibitor for 3 months

Answer

Barium swallow only

Answer

Reassure and review in 12 months

Answer

Speech therapy referral only

Practice question

A 50-year-old man presents with progressive solid-food dysphagia but no weight loss or anaemia. He smokes and drinks alcohol heavily. What is the most appropriate next step?