26th April 2024

A 45-year-old woman presents with a 4-month history of intermittent, burning chest and epigastric pain, which often occurs at night and improves with eating.

A 45-year-old woman presents with a 4-month history of intermittent, burning chest and epigastric pain, which often occurs at night and improves with eating. She also reports occasional nausea and a recent episode of vomiting with a small amount of blood. She denies any significant alcohol use, weight loss, or changes in bowel habits. On examination, there is mild tenderness in the epigastric region. Her temperature is 36.8°C, and the rest of the examination is unremarkable.

Investigations:

Haemoglobin is within normal range.

Which is the most likely diagnosis?