How Doctors Detect Peptic Ulcers: What You Should Know
Published: Jul 12, 2024
Diagnosing peptic ulcers isn't as straightforward as you might think. Here's how doctors get to the bottom of your stomach woes.
Contents
Why Endoscopy is the Gold Standard
When it comes to diagnosing peptic ulcers, nothing beats an upper endoscopy. This test involves using a small camera to look directly inside your stomach and spot ulcers. It's about 90% accurate, depending on the skill of the doctor and where the ulcer is located.
Imaging Insights
Though not as common as endoscopy, CT scans can also help diagnose peptic ulcers. They can reveal tell-tale signs like a break in the stomach lining or an ulcer crater. However, CT scans might miss smaller or less severe ulcers, so they're typically used when an endoscopy isn't feasible.

Biopsies: More Than Just a Test
In some cases, doctors might take a biopsy, or tissue sample, during an endoscopy. This helps determine if the ulcer is benign or cancerous, especially in areas where gastric cancer is prevalent. It's an extra step to ensure nothing is overlooked.
Frequently Asked Questions
Through an upper endoscopy, which allows direct visualization of the ulcer.
It can show breaks in the stomach lining or craters, but may miss smaller ulcers.
To check if the ulcer is cancerous, especially in high-risk areas.
It's the most accurate method, but CT scans can also help.
Key Takeaways
Endoscopy is crucial for accurately diagnosing peptic ulcers.
References
- Dooley CP, Larson AW, Stace NH, et al. Double-contrast barium meal and upper gastrointestinal endoscopy. A comparative study. Ann Intern Med 1984; 101:538.
- Cotton PB, Shorvon PJ. Analysis of endoscopy and radiography in the diagnosis, follow-up and treatment of peptic ulcer disease. Clin Gastroenterol 1984; 13:383.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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