Question

A 65-year-old with chronic NSAID therapy and prior UGIB requires daily aspirin for secondary prevention. He asks about H. pylori. What is appropriate?

Accepted Answer

Test and treat H. pylori if positive

Answer

plus PPI co‑therapy with ongoing NSAID/aspirin

Answer

No role for H. pylori testing

Answer

Stop all antiplatelets permanently

Answer

Use H2 blocker rather than PPI

Practice question

A 65-year-old with chronic NSAID therapy and prior UGIB requires daily aspirin for secondary prevention. He asks about H. pylori. What is appropriate?