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

Specific areas of focus when obtaining a history from the patient include history of:

• Nausea & vomiting
• Epigastric or abdominal pain
• Bloating
• Pain aggravating or relieving with food
• Gastrointestinal bleeding
• Anorexia
• Weight loss
• Pallor
• Previous laboratory findings of anemia
• Family history of GI diseases
• History of medication use (NSAIDS)
• Food and drinking water hygiene

If H.pylori infection is suspected in children, the history of the patient should include:

• Pain (location, character, duration, radiation, severity, aggravating and relieving factor)
• Diet, appetite and weight changes
• Nausea
• Vomiting
• Bloating
• Family history of Gastrointestinal diseases (eg.,Ulcers, crohn disease)
• History of NSAIDS use
• Food and drinking water hygiene

Symptoms

Symptoms of H.pylori infection include:

• Halitosis
• Nausea
• Vomiting
• Epigastric or abdominal pain
• Bloating
• Belching
• Dark or tarry like stools
• Fatigue
• Diarrhea
• Unexplained weight loss

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