AKT-2362

A 68-year old male presents with dyspepsia.

On further questioning his symptoms started about two months ago. He has been getting epigastric discomfort and heartburn; he also feels a little bit more breathless than usual and puts this down to being a heavy smoker for the last forty years. He doesn’t take any regular medications and has not used any over-the-counter remedies recently. He thinks he’s lost some weight.

On examination, he looks a little pale and has some angular stomatitis.

What is the most appropriate management strategy?