Suggested Additional Lab Testing
For gastric ulcer:
Endoscopy to visualize the ulcer; biopsy of the lesion is recommended to determine if patient has gastric adenocarcinoma.
Rapid urease test of biopsy material (CLO test) verifies the presence of active infection.
For duodenal ulcer disease:
Urea breath test is a sensitive and specific test for detection of active infection without the use of biopsy in patients with uncomplicated duodenal ulcer.
If a biopsy is performed, the CLO test, if positive, verifies the presence of active infection.
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