Dr. Pranab Bera (General Practice) needs a second opinion on this medical case.
40y/ M, complain upper abdominal pain since 2month.
Pain in upper abdomen.
Alcohol and ganja adicted near about 12-15 years and still now.
Puls 92 bpm.
BP 130/80 mm/ hg
Anorexia, loss of appetite. Weight loss with in 3-6month minimum 4kg.mind irritated,
Sleep normal. Stool and urine normal.
Upper GI Endoscopy
If necessary investigation??