What are the “alarm features” of peptic ulcer disease that necessitate immediate referral to a gastroenterologist?

Updated: Apr 26, 2021
  • Author: BS Anand, MD; Chief Editor: Philip O Katz, MD, FACP, FACG  more...
  • Print
Answer

In uncomplicated peptic ulcer disease, the clinical findings are few and nonspecific. “Alarm features" that warrant prompt gastroenterology referral [1] include bleeding, anemia, early satiety, unexplained weight loss, progressive dysphagia or odynophagia, recurrent vomiting, and a family history of gastrointestinal (GI) cancer. Patients with perforated peptic ulcer disease usually present with a sudden onset of severe, sharp abdominal pain. (See Presentation.)


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!