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Gastric Ulcer

At GastroDoxs in Houston, Dr. Scott specializes in comprehensive gastric ulcer care, combining advanced diagnostics and personalized treatment plans. From lifestyle adjustments and medication to minimally invasive procedures, our expert approach ensures lasting, rapid relief, healing, and long-term gastrointestinal health.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • Helicobacter pylori infection
  • Long-term NSAID use (e.g., ibuprofen, naproxen)
  • Smoking and heavy alcohol consumption
  • High stress levels
  • Family history of peptic ulcers

Signs and Symptoms

  • Burning or gnawing pain in the upper abdomen
  • Nausea or occasional vomiting
  • Bloating or feeling full quickly
  • Dark, tarry stools (sign of internal bleeding)
  • Diarrhea in some cases due to altered digestion

How Dr. Scott Diagnoses Gastric Ulcer

Dr. Scott uses a step-by-step approach:

Medical History and Physical Exam

He evaluates symptoms such as burning upper abdominal pain, nausea, bloating, or early satiety. He reviews risk factors including NSAID or aspirin use, alcohol intake, smoking, stress, and any history of ulcers or bleeding.

Upper Endoscopy (EGD)

A flexible endoscope is used to directly inspect the stomach lining. Dr. Scott identifies the presence, size, and location of ulcers, and takes biopsies to rule out infection or malignancy.

H. pylori Testing

  • Urea breath test detects active H. pylori infection by measuring labeled CO? in your breath after ingesting a test solution.
  • Stool antigen test confirms ongoing infection with high accuracy.
  • Biopsy during endoscopy may also be tested for H. pylori presence.

Blood Work

Lab tests may include a complete blood count (CBC) to check for anemia due to chronic or microscopic bleeding, and additional labs to rule out other potential causes of symptoms.

Imaging Studies (if needed)

  • Abdominal ultrasound to evaluate for alternative causes of upper abdominal pain such as gallbladder or liver issues.
  • CT scan may be ordered if complications like perforation, obstruction, or deep ulceration are suspected.
Dr. Scott
Treatment

Our Team offers a full range of care for gastric ulcers.

1. Lifestyle and Diet Modifications

  • Gastric ulcer-friendly foods: lean proteins, cooked vegetables, whole grains
  • Foods to avoid: spicy dishes, caffeine, citrus, alcohol
  • Eat smaller meals every 3-4 hours
  • Quit smoking and limit stress

2. Medications

  • Proton pump inhibitors (PPIs) to reduce stomach acid
  • H2 blockers for milder cases
  • Antibiotics to eradicate H. pylori infection
  • Antacids for quick symptom relief

3. Minimally Invasive or Advanced Procedures

  • Endoscopic therapy to control or stop bleeding
  • Injection treatments for severe or non-healing ulcers
  • Surgical repair in rare cases of perforation
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What is the recovery time for a gastric ulcer?

Most patients start to feel better in 2-4 weeks with proper treatment.

Can stress cause gastric ulcers?

Stress alone rarely causes ulcers but can slow healing and worsen symptoms.

How do I know if I have an H. pylori infection?

Dr. Scott will order a breath or stool test to confirm H. pylori.

Can gastric ulcers cause diarrhea?

Yes. Ulcer‐related inflammation can change bowel habits for some people.

Which foods should I avoid with a gastric ulcer?

Stay away from alcohol, caffeine, spicy foods, and highly acidic items.

Are there non-drug treatments for ulcers?

Yes. Diet changes, stress management, and probiotics may help support healing.

What is the gastric ulcer ICD 10 code?

Codes range from K25.0 (acute with hemorrhage) to K25.9 (unspecified).

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