Problem: A 40-year-old male patient with hypertension and diabetes complains of worsening epigastric pain and early satiety with meals. He denies weight loss, vomiting, dysphagia, or gastrointestinal bleeding. He has a family history of hypertension. Exam reveals no abnormalities except epigastric tenderness to palpation without rebound or guarding. No masses are palpable and FOBT is heme-negative. The local prevalence of H. pylori is 3%. Which of the following is the next step in evaluation and management of this patient? Need Professional Help? A. Colonoscopy B. Upper GI series C. Trial of proton pump inhibitors D. H. pylori testing