Rapid urease test is done through Gastroscopy to rule out Hpylori infection Almost 50 percent population suffer from h pylori infection Patient have heart burn, indigestion, bloating, epigastric pain. Extra abdominal symptoms like uneasiness, back pain , restlessness, are important and not to be over looked. Gastroscopy helps to find out acid peptic ulcers and biopsy helps to find out HPyloric infection