If you are a younger adult
who is having ulcer symptoms for the first time, your doctor may begin
treatment with medicines based only on your symptoms and the results of your
medical history and physical exam. But it is becoming more common to test your
blood, breath, or stool immediately for
Helicobacter pylori (H. pylori) infection whenever someone has common ulcer
The BRAT diet (Bananas, Rice, Applesauce, Toast) was once a staple of most pediatricians' recommendations for children with an upset stomach. The idea was that it gave the gut a chance to rest and reduced the amount of stool produced. Now experts say the BRAT diet may not be the best option for children.
Because BRAT diet foods are low in fiber, protein, and fat, the diet lacks enough nutrition to help a child's gastrointestinal tract recover. The American Academy of Pediatrics now recommends that...
If you are older than 55, you may require more testing
because you may be at increased risk for stomach cancer. Although the risk of
stomachcancer is small, it is important to
distinguish between a gastric and duodenal ulcer. If
you have a stomach ulcer, it will be tested for cancer. In rare cases, stomach
ulcers contain cancer cells. Further testing is needed, especially for those
people older than 55 who have:
Ulcer symptoms for the first
Ulcer symptoms that return before or after treatment is
A family history of stomach
Additional symptoms may point to a more serious
problem, such as stomach cancer. These include:
person has symptoms of a peptic ulcer, the following tests may be used to look
for the ulcer:
allows the doctor to look at the inside of the stomach and upper small
intestine to see whether ulcers are present. It also allows the doctor to
collect a tissue sample (biopsy) that can be tested for the presence of
H. pylori bacteria or other problems (such as cancer) in
Upper gastrointestinal (UGI) series. An X-ray
exam of the esophagus and stomach (upper GI series) may be used to diagnose peptic ulcer disease, although this test
is being used less frequently.
fecal occult blood test (FOBT) may be done to detect
blood in the stool, which may be caused by a peptic ulcer or another serious
problem, such as colon cancer. By itself, an FOBT cannot diagnose peptic ulcer
disease, but it may show if an ulcer is bleeding.
Many people are infected with H. pylori bacteria,
but most of them will not have symptoms of peptic ulcer disease. Because of
this, the American College of Gastroenterology advises testing for
H. pylori infection for people who:1
Have active peptic ulcer disease or a past
history of a peptic ulcer.
Are known to have or have a family
history of a condition called gastric mucosa-associated lymphoid tissue (MALT)
lymphoma, which is a type of stomach cancer.
Have a new case of
dyspepsia, are younger than 55, and do not have
bleeding, weight loss, or other symptoms that may be caused by a more serious