Question

A 41-year-old woman with no significant past history presents with persistent epigastric pain and unintentional weight loss of 6 kg over 3 months. She has new iron deficiency anaemia. What is the most appropriate next step in management?

Accepted Answer

Urgent upper gastrointestinal endoscopy

Answer

Empirical proton pump inhibitor therapy only

Answer

Helicobacter pylori stool antigen test and treat if positive

Answer

Abdominal ultrasound only

Answer

Reassure and review in 6 months

Practice question

A 41-year-old woman with no significant past history presents with persistent epigastric pain and unintentional weight loss of 6 kg over 3 months. She has new iron deficiency anaemia. What is the most appropriate next step in management?