Does this patient need IV PPI, pRBCs, or maybe TLC for now?
A previously healthy 45-year-old man presents with melena of several day’s duration. On review of symptoms, he reports fatigue and light-headedness while standing. Results of laboratory studies reveal a hemoglobin level of 8 g/dL. He undergoes upper endoscopy, which demonstrates a 6-mm clean based ulcer in the duodenum without stigmata of bleeding. Tissue biopsies are taken to rule out Helicobacter pylori.
Which of the following steps would you recommend next?