Peptic ulcer questionnaire 2025

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Esophagogastroduodenoscopy (EGD): Gold standard and most accurate diagnostic test with sensitivity and specificity up to 90% in diagnosing gastric and duodenal ulcers.
Doctors may order an upper GI endoscopy to confirm the diagnosis of a peptic ulcer and try to find its cause. For an upper GI endoscopy, a doctor uses an endoscopea flexible tube with a camerato see the lining of your upper GI tract, including your esophagus, stomach, and duodenum.
Patient reporting of epigastric abdominal pain, early satiety, and fullness following a meal raise suspicion of PUD. The pain of gastric ulcers increases 2 to 3 hours after a meal and may result in weight loss, whereas the pain of duodenal ulcers decreases with a meal which can result in weight gain.
Laboratory Testing Endoscopy with biopsy to obtain a tissue sample to test for the bacteria. Urea breath tests, a noninvasive method. Serologic testing, a blood test. Stool antigen, another noninvasive method of testing for H. pylori.
In uncomplicated peptic ulcer disease, the clinical findings are few and nonspecific and include the following: Epigastric tenderness (usually mild) Right upper quadrant tenderness may suggest a biliary etiology or, less frequently, peptic ulcer disease. Guaiac-positive stool resulting from occult blood loss.
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Most patients describe generalized pain; a few present with severe epigastric pain. As even slight movement can tremendously worsen their pain, these patients assume a fetal position. Abdominal examination usually discloses generalized tenderness, rebound tenderness, guarding, and rigidity.
What are peptic ulcer symptoms? Up to 70% of people with peptic ulcer disease dont notice any symptoms. But the most common symptoms people report are epigastric pain (central upper abdominal pain) and indigestion (dyspepsia). These symptoms come and go persistently.

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