A 52-year-old man presents with a 3-month history of dysphagia, initially to solids and now progressing to liquids. He also reports unintentional weig...

Question

A 52-year-old man presents with a 3-month history of dysphagia, initially to solids and now progressing to liquids. He also reports unintentional weight loss of 5kg. He is an ex-smoker and drinks alcohol occasionally. What is the most appropriate immediate action?

Accepted Answer

Perform an urgent upper GI endoscopy (within 2 weeks)

Answer

Prescribe a trial of omeprazole 40mg daily

Answer

Refer for a barium swallow study

Answer

Reassure and review in 4 weeks

Answer

Check for Helicobacter pylori and treat if positive

ukmla MCQ (SBA): Dysphagia

A 52-year-old man presents with a 3-month history of dysphagia, initially to solids and now progressing to liquids. He also reports unintentional weight loss of 5kg. He is an ex-smoker and drinks alcohol occasionally. What is the most appropriate immediate action?