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  1. New onset indigestion in a patient over 60 years
  2. Poor appetite
  3. Unexplained weight loss
  4. Food sticking in chest
  5. Painful swallowing
  6. Vomiting
Evidence of:
 Upper gut bleeding
Iron deficiency anaemia
Upper gut cancer in first degree relative
Any of the above features should be taken extremely seriously & the doctor (GP) consulted urgently.