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A 49-year-old obese man with a history of binge alcohol consumption presents with longstanding sympt
A 49-year-old obese man with a history of binge alcohol consumption presents with longstanding symptoms of heartburn, epigastric pain, and bloating. Typically, he manages his symptoms with over-the-counter antacids and short-term alcohol avoidance. He reports that he has recently started to vomit on a daily basis, typically within an hour after eating. He also reports unintentional weight loss of 15 lbs. over the last three months. On questioning, he does report some difficulty and pain associated with swallowing. He is an occasional smoker of cigarettes. Which of the following symptoms, in isolation, would NOT warrant an upper endoscopy? Recurrent vomiting. Dysphagia. Weight loss. Burning epigastric pain. Odynophagia.
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