Question

A 35-year-old man presents to his family physician with recurrent epigastric pain relieved by eating and speaking. He takes NSAIDs for chronic back pain. Which H. pylori testing modality is most appropriate before starting long-term proton pump inhibitor therapy?

Accepted Answer

Urea breath test or stool antigen test after withholding PPIs

Answer

Serum H. pylori IgG antibody

Answer

Endoscopic biopsy only in all patients

Answer

No testing is required before PPI therapy

Answer

Plain abdominal radiograph

Practice question

A 35-year-old man presents to his family physician with recurrent epigastric pain relieved by eating and speaking. He takes NSAIDs for chronic back pain. Which H. pylori testing modality is most appropriate before starting long-term proton pump inhibitor therapy?