What should I do if I have a Helicobacter pylori infection?

Written by Peng Miao Yun
Internal Medicine
Updated on September 29, 2024
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Helicobacter pylori is closely related to the occurrence of chronic gastritis, gastric ulcers, and gastric cancer, but not everyone infected with Helicobacter pylori will develop chronic gastritis or gastric ulcers. Infections can be diagnosed with a breath test, where values more than twice the normal level, accompanied by symptoms of gastritis, gastric ulcers, stomach distension, stomach pain, and acid reflux, should be considered for antibacterial and stomach-protective treatment. Generally, with standard treatment, 90% of Helicobacter pylori can be eradicated within one to two weeks. However, reinfection is common as it can be found in food and utensils and transmitted through saliva. It is generally advised that children under 14 and individuals with low levels of Helicobacter pylori without obvious stomach inflammation symptoms do not require immediate treatment.

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What should I do if Helicobacter pylori infection is not cured after two treatments?

If Helicobacter pylori infection has not been cured after two treatments, it is necessary to consider the possibility of bacterial resistance or that the treatment was not standardized. It is advisable to visit the gastroenterology department of a hospital. Based on the doctor's experience, it may be necessary to adjust the medication plan. The choice of specific medications and their dosage should be determined according to the doctor's prescription. During the treatment period, one should eat easily digestible food and avoid spicy and irritating foods, as well as avoid drinking alcohol, strong tea, coffee, etc. It is also important to eat slowly and avoid overeating or drinking excessively.

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Is erosive gastritis related to Helicobacter pylori?

Helicobacter pylori infection has been confirmed as the primary cause of chronic gastritis, peptic ulcers, and gastric cancer. Erosive chronic gastritis is a type of chronic gastritis, thus there is a certain relationship between erosive gastritis and Helicobacter pylori, but not all chronic gastritis is caused by Helicobacter pylori; some are, but others are not. Therefore, if erosive gastritis occurs, it is necessary to conduct a carbon-14 breath test to determine whether there is an infection of Helicobacter pylori. If the Helicobacter pylori infection is positive, a 14-day anti-Helicobacter pylori treatment should be administered. The treatment includes a proton pump inhibitor, two antibiotics, and a bismuth agent. After treatment, most of the Helicobacter pylori will convert from positive to negative.

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Can you kiss during the treatment period for Helicobacter pylori?

During the treatment of Helicobacter pylori, it is advisable to avoid kissing, as Helicobacter pylori may be present in saliva, and kissing could transmit the infection to a partner. Also, avoid consuming strong alcohol, strong tea, coffee, and other spicy and irritant foods. Eat regularly and in moderation, chew slowly, and consume easily digestible foods along with fresh vegetables and fruits rich in vitamins, such as apples, bananas, tomatoes, and kiwis. It is recommended to use separate meals during the treatment of Helicobacter pylori infection to prevent transmission.

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Can a gastroscopy detect Helicobacter pylori?

Helicobacter pylori is a type of bacterium that can easily infect and cause chronic gastritis, and it even has the potential to lead to cancer. Therefore, patients with Helicobacter pylori generally require formal treatment. In terms of diagnostics, Helicobacter pylori can be detected through a gastroscopy, but the bacteria cannot be detected by gastroscopy alone; the test for Helicobacter pylori is performed under the scope. However, the current main method for testing Helicobacter pylori is through a breath test, since undergoing a gastroscopy just to test for the bacteria can be quite uncomfortable. Moreover, the accuracy of the breath test is relatively high, so currently, Helicobacter pylori is generally detected via breath testing rather than gastroscopy.

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Can you eat sweets during the treatment for Helicobacter pylori?

During the treatment of Helicobacter pylori, it is permissible to eat sweets. During this period, it is necessary to avoid spicy and irritating foods, as well as avoid drinking strong alcohol, strong tea, coffee, and so on. It is recommended to consume more fresh vegetables and fruits rich in vitamins, as well as nutritious and light foods. Smoking and drinking alcohol should be avoided, and meals should be regular and in measured quantities. Since sweet foods are not considered spicy or irritating, they can be consumed during the treatment of Helicobacter pylori. After the treatment of a Helicobacter pylori infection, it is necessary to wait one month after stopping the medication before a follow-up examination to confirm whether the bacteria have been completely eradicated.