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
- Acetylcholinesterase inhibitors (donezepil, galantamine, rivastigmine).
- Aldosterone antagonists (epleronone, spironolactone).
- Analgesics
- Non-steroidal anti-inflammatory drugs (NSAIDs), non-steroidal/NSAID (non steroidal anti-inflammatory drugs – acetylsalicylic acid (ASA), acemeatcin,diclofenac, etoricoxib, indometacin, ibuprofen, ketoprofen, meloxicam, naproxen, phenylbutazone piroxicam); concomitant use of glucocorticoids increases the likelihood of disease by a factor of 15.
- Bisphosphonates
- Hormones
- Glucocorticoids (alclometasone, betamethasone valerate, budesonide, fluticasone, halometasone, hydrocortisone, methylprednisolone, mometasone, prednicarbate, prednisone, prednisolone) [especially in combination with NSAIDs (nonsteroidal anti-inflammatory drugs)]
- Immunosuppressants (mycofenolate mofetil).
- Potassium chloride
- Platelet aggregation inhibitors – acetylsalicylic acid (ASA), clopidogrel.
- Cytostatic drugs