How to Diagnose an Ulcer

An ulcer is a sore located inside of the digestive tract. A peptic ulcer is a common form of ulcer that can develop anywhere from the esophagus to the duodenum (the beginning of the small intestine). Ulcers can also form in the large intestine. Common symptoms of an ulcer are stomach pain and cramping, nausea and weight loss. An accurate ulcer diagnosis can be difficult to achieve. There are several tests to diagnose an ulcer, including X-rays, tissue tests and blood tests.

Difficulty:

Easy

Instructions

Things You'll Need

• Symptom diary

Receive an Ulcer Diagnosis

1. Visit your physician. During your routine physical examination, explain your current ulcer symptoms and concerns. Answer your doctor's questions truthfully to obtain the most accurate diagnosis.

2. Test your blood for H. pylori bacteria. H. pylori bacteria are known to cause peptic ulcers, and they can be diagnosed with a simple blood test.

3. Ask for an endoscopy. An endoscopy is a procedure where an endoscope (a small scope with a camera on the end) is passed through the throat and into the stomach and duodenum. The camera can take pictures to help the doctor determine whether or not an ulcer is present.

4. Get a stomach biopsy. During an endoscopy, a small piece of stomach tissue can be removed with the endoscope. This piece of tissue can then be tested to help the doctor diagnose H. pylori or other digestive diseases that could be causing ulcer symptoms.

5. Request an upper GI (gastrointestinal) series. An upper GI is a series of X-rays that can help a doctor diagnose an ulcer. An upper GI requires the patient to drink liquid barium for a clear X-ray.

6. Consider seeking the opinion of a digestive specialist or gastroenterologist. A specialist can more accurately diagnose an ulcer and can also diagnose other digestive diseases or problems.

7. Browse the book "Diagnosis and Management of Peptic Ulcer Disease" by Gary Gitnick (see Resources below). The book gives readers a clinical look at diagnosing and treating ulcers.

Tips & Warnings

• Keep a symptom diary. A diary containing the frequency and types of symptoms you are experiencing can help a doctor or specialist diagnose your condition.

• Call your doctor anytime you experience dark or black-colored vomit and/or stools. Trace amounts of blood in the vomit or bowel movements should also be discussed immediately with your doctor.

• Travel to the emergency room if you experience heavy bleeding. Excessive blood in the vomit or stools requires immediate medical attention.