M.G. is a 50 y.o. male with a several month history of burning epigastric pain, improved with food. Reports history of coffee- ground emesis and black tarry stools, now subsided, NSAID use, moderate alcohol use, 30-pack history of smoking. The patient reports history of dyslipidemia, last physical exam two years ago, denies drug allergies. Takes 81 mg aspirin daily, tums, and NSAIDs. Last alcoholic drink yesterday. Physical exam reveals epigastric tenderness upon palpation, negative hemoccult, negative prostate exam. Vitals and remaining physical examination unremarkable. FH and PMH unremarkable.