Peptic Ulcer : Further FAA Medical Workup

Apr 2014

Guidance is compiled and interpreted by professional pilots and physicians at from the 2014 AME Guide page 264, FAA and FDA web data ( &, instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).

FAA Considerations
Disease Protocols for Pilots - Peptic Ulcer

A pilot applicant with a history of an active ulcer within the past 3-months or a bleeding ulcer within the past 6-months must provide evidence through the AME that the ulcer is healed if consideration for medical certification is desired.

Evidence of healing must be verified by a report from the attending physician that includes the following information:

  • Confirmation that the applicant is free of symptoms
  • Radiographic or endoscopic evidence that the ulcer has healed
  • The name and dosage medication(s) used for treatment and/or prevention, along with a statement describing side effects or removal

This information should be submitted through the AME to the AMCD. Under favorable circumstances, the FAA may issue a certificate with special requirements. For example, an applicant with a history of bleeding ulcer may be required to have the physician submit followup reports every 6-months for 1 year following initial certification.

The prophylactic use of medications including simple antacids, H-2 inhibitors or blockers, proton pump inhibitors, and/or sucralfates may not be disqualifying, if free from side effects. See medications policies

An applicant with a history of gastric resection for ulcer may be favorably considered if free of sequela.

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Reminder: use to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. Find an AME now