Question

A 58-year-old man presents with epigastric pain and weight loss over 3 months. He reports melaena and has a microcytic anaemia. What is the most appropriate next step in management?

Accepted Answer

Urgent upper GI endoscopy on a suspected cancer pathway

Answer

Start a proton pump inhibitor and review in 8 weeks

Answer

Arrange a non-urgent H. pylori breath test

Answer

Order an abdominal ultrasound scan only

Answer

Treat empirically with triple therapy for H. pylori

Practice question

A 58-year-old man presents with epigastric pain and weight loss over 3 months. He reports melaena and has a microcytic anaemia. What is the most appropriate next step in management?