Helicobacter pylori infection history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

History and Symptoms

• The most common ulcer symptom is gnawing or burning pain in the abdomen between the breastbone and the belly button.
• The pain often occurs when the stomach is empty, between meals and in the early morning hours, but it can occur at any other time.
• It may last from minutes to hours and may be relieved by eating food or taking antacids.
• Less common symptoms include nausea, vomiting, or loss of appetite. Sometimes ulcers bleed. If bleeding continues for a long time, it may lead to anemia with weakness and fatigue. If bleeding is heavy, blood may appear in vomit or bowel movements, which may appear dark red or black.

Functional dyspepsia: Rome III diagnostic criteria for gastrointestinal disorders

B1. FUNCTIONAL DYSPEPSIA

Diagnostic criteria Must include:

1: One or more of the following:

• Bothersome postprandial fullness
• Early satiation
• Epigastric pain
• Epigastric burning

And

2: No evidence of structural disease (including at upper endoscopy) that is likely to explain the symptoms

Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis