Question

A 53-year-old man has long-standing heartburn and regurgitation, relieved by over-the-counter antacids. Over the last 2 months he has developed intermittent dysphagia to solids and has unintentionally lost 5 kg. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent upper gastrointestinal endoscopy

Answer

Start a proton pump inhibitor and review in 6 months

Answer

Order a barium swallow only

Answer

Test for Helicobacter pylori and treat if positive

Answer

Reassure and continue antacids

Practice question

A 53-year-old man has long-standing heartburn and regurgitation, relieved by over-the-counter antacids. Over the last 2 months he has developed intermittent dysphagia to solids and has unintentionally lost 5 kg. What is the most appropriate next step in management?