A 47-year-old man with gastroesophageal reflux disease comes to the physician because of severe burning chest pain and belching after meals. The discomfort has been less responsive than usual to over-the-counter antacids. He has no other chronic medical conditions. He has limited his caffeine intake and has been avoiding food close to bedtime. BMI is 34 kg/m². Vital signs are within normal limits. Physical examination reveals no abnormalities. The recent worsening of this patient's symptoms is most likely related to which of the following?

Question

Quizplus · Accepted Answer

Eductional Objective: New-onset odynophagia in the setting of chronic gastroesophageal reflux disease should raise suspicion for erosive esophagitis with esophageal ulcers.  Diagnosis is made by upper endoscopy.

A 47-Year-Old Man with Gastroesophageal Reflux Disease Comes to the Physician