Duodenal Ulcer: Medical History

Medical history (history of illness) is an important component in the diagnosis of duodenal ulcer (ulcer of the duodenum).

Family history

  • Is there a history of frequent gastrointestinal disease in your family?

Social history

  • Is there any evidence of psychosocial stress or strain due to your family situation?

Current medical history/systemic history (somatic and psychological complaints).

  • Do you have any upper abdominal discomfort?
  • If yes, when do they occur:
    • Late after food intake
    • At night
    • In a sober state
    • Independent of food intake
  • Do you suffer from nausea/vomiting?
  • Have you noticed any weight loss?
  • How long have these symptoms been present?

Vegetative anamnesis including nutritional anamnesis.

  • Do you eat a balanced diet?
    • Do you eat a lot of white flour products as well as sweets?
    • Do you eat cold water fish (fatty marine fish such as kippers, halibut, herring, mackerel, anchovies, sardine, haddock, pollock) weekly?
    • Do you use at least one of the following oils: safflower, canola, soybean, pomegranate seed, borage, evening primrose, hemp oil?
  • Do you like to drink coffee, black and green tea? If so, how many cups per day?
  • Do you drink other or additional caffeinated beverages? If so, how much of each?
  • Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
  • Do you use drugs? If yes, what drugs (cocaine) and how often per day or per week?

Self history incl. drug history.

  • Pre-existing conditions (gastrointestinal diseases, lung diseases, kidney diseases, infections, autoimmune diseases, metabolic diseases, liver diseases, tumor diseases).
  • Operations
  • Radiotherapy
  • Allergies

Medication history