Question

A 50-year-old man presents with a 3-month history of post-prandial epigastric discomfort and early satiety. He has lost 5 kg unintentionally and reports occasional melena. What is the most appropriate initial investigation?

Accepted Answer

Upper gastrointestinal endoscopy

Answer

Empirical proton pump inhibitor therapy for 8 weeks

Answer

Urea breath test for H pylori only

Answer

Abdominal ultrasound

Answer

Stool antigen test for H pylori only

Practice question

A 50-year-old man presents with a 3-month history of post-prandial epigastric discomfort and early satiety. He has lost 5 kg unintentionally and reports occasional melena. What is the most appropriate initial investigation?