20th July 2020

A 45-year-old male presents to his GP with symptoms of dyspepsia

A 45-year-old male presents to his GP with symptoms of dyspepsia and abdominal pain which he has been experiencing for the last month. He finds the abdominal pain is worsened by eating. Past medical history includes hypertension and rheumatoid arthritis, for which he takes amlodipine and ibuprofen. Social history includes a 25 pack-year smoking history and 20 units of alcohol consumed regularly over the course of a weekend. On examination, he appears well, abdominal examination reveals tenderness to palpation over the epigastric area. 

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