18th July 2023

A 32-year-old man was diagnosed with H. pylori infection 8 weeks ago and was treated with clarithromycin

A 32-year-old man was diagnosed with H. pylori infection 8 weeks ago and was treated with clarithromycin, amoxicillin, and omeprazole. He is complaining of ongoing symptoms of dyspepsia. He has no past medical history and is normally fit and well. He reports that his father died of stomach cancer.

On examination, he has mild epigastric tenderness, but there is no evidence of guarding, peritonism or organomegaly. His weight today is 74kg and was 73kg 8 weeks ago.

What is the most appropriate next step?

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