2 Months Of Intermittent in Medicine / Internal Medicine — 46yo Man | Gastroenterology | SMLE Q#19930
SMLE Question #19930
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-121
Last updated: May 2026
A 46-year-old man presents to the outpatient clinic with 2 months of intermittent epigastric burning pain, worse after meals and partially relieved by antacids. He takes ibuprofen most days for knee osteoarthritis. He reports occasional nausea but no vomiting, weight loss, dysphagia, or change in bowel habits. Repeat faecal occult blood testing is positive. Examination shows mild epigastric tenderness without guarding. What is the most likely diagnosis?
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