Question

A 55-year-old man presents with a 6-week history of epigastric pain and heartburn, worse after meals. He smokes 10 cigarettes a day and drinks alcohol moderately. He has no alarm symptoms. What is the most appropriate initial investigation according to NICE guidelines?

Accepted Answer

Trial of full-dose Proton Pump Inhibitor (PPI) for 4 weeks

Answer

Barium swallow

Answer

Urea breath test

Answer

Urgent endoscopy (2-week wait)

Answer

CT abdomen/pelvis

Practice question

A 55-year-old man presents with a 6-week history of epigastric pain and heartburn, worse after meals. He smokes 10 cigarettes a day and drinks alcohol moderately. He has no alarm symptoms. What is the most appropriate initial investigation according to NICE guidelines?