Question

A 45-year-old man complains of difficulty swallowing (dysphagia) solids more than liquids, which has progressed over 6 months. He also reports occasional regurgitation of undigested food and significant weight loss (5 kg). He is a smoker. What is the most important next step in management?

Accepted Answer

Urgent upper GI endoscopy (within 2 weeks)

Answer

Trial of omeprazole 40mg BD

Answer

Barium swallow examination

Answer

Manometry

Answer

24-hour pH monitoring

Practice question

A 45-year-old man complains of difficulty swallowing (dysphagia) solids more than liquids, which has progressed over 6 months. He also reports occasional regurgitation of undigested food and significant weight loss (5 kg). He is a smoker. What is the most important next step in management?