Reactions during the treatment of Helicobacter pylori

Written by Wu Hai Wu
Gastroenterology
Updated on February 17, 2025
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During the treatment of Helicobacter pylori, there usually isn't significant discomfort, but a small number of patients may experience upper abdominal discomfort, nausea, vomiting, and other symptoms after taking antibiotics. Treatment of Helicobacter pylori requires a two-week quadruple therapy including a bismuth-containing agent. During the treatment of Helicobacter pylori infection, it is recommended to consume fresh vegetables and fruits rich in vitamins, avoid spicy and irritating foods, quit smoking and drinking, and avoid strong tea and coffee. Furthermore, it is advisable to avoid overeating and drinking excessively during the treatment period.

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Written by Ren Zheng Xin
Gastroenterology
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Which department checks for Helicobacter pylori?

Current research suggests that Helicobacter pylori infection is the primary cause of various gastric diseases. It is best to visit the gastroenterology department of a hospital to check for Helicobacter pylori, where a Carbon-14 breath test can be conducted to determine the amount of Helicobacter pylori in the stomach. If there is a high quantity of bacteria, or if there are gastrointestinal diseases present, one might consider a treatment to eradicate Helicobacter pylori. This generally involves the use of two types of antibiotics along with a gastric mucosal protector or a medication that inhibits stomach acid secretion. It is also important to regularly follow up, maintain a regular diet, and avoid spicy and irritating foods.

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Written by Wu Hai Wu
Gastroenterology
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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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Written by Si Li Li
Gastroenterology
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How to treat Helicobacter pylori positive?

The infection rate of Helicobacter pylori in our country has already exceeded 50%, and Helicobacter pylori has been confirmed as the main cause of chronic gastritis, peptic ulcers, and even gastric cancer. If Helicobacter pylori tests positive and is accompanied by symptoms or diseases of the digestive system, eradication treatment for Helicobacter pylori is necessary. The medication involves a proton pump inhibitor, two types of antibiotics, and a bismuth agent, with a treatment period of 14 days. After the 14-day treatment, the medication should be discontinued for a month before rechecking with a carbon-14 breath test to confirm whether Helicobacter pylori has turned negative. If it has turned negative, it indicates that the eradication treatment of Helicobacter pylori is successful. After infection with Helicobacter pylori, a diet easy to digest is recommended.

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Written by Si Li Li
Gastroenterology
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Can Helicobacter pylori infection recur after treatment?

Helicobacter pylori, once treated, does not recur, but it is possible to be infected again after the treatment is completed. Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%, so it is important to be cautious during communal meals. Due to the Chinese dietary habit of sharing dishes using the same chopsticks, it is easy to spread Helicobacter pylori. Therefore, it is advisable to use serving chopsticks, which can significantly reduce the infection rate of Helicobacter pylori. If reinfected with Helicobacter pylori, it is necessary to undergo eradication treatment again. The treatment involves a proton pump inhibitor, two types of antibiotics, and a bismuth agent, totaling a 14-day treatment. After infection with Helicobacter pylori, dietary precautions are also needed, focusing on a light, easily digestible diet, and avoiding difficult-to-digest foods.

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Written by Qu Chun Yao
Obstetrics and Gynecology
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Can Helicobacter pylori tests be done during the pregnancy preparation stage?

During the preconception stage, it is possible to test for Helicobacter pylori, but if testing is to be conducted, breath tests should be avoided. This is because breath tests use carbon-14 or carbon-13, which are radioactive, making them unsuitable for women planning pregnancy. At this time, it is also important to weigh the pros and cons. If there are chronic gastric or duodenal ulcers, and the symptoms are quite apparent, it is necessary to conduct tests. It is advisable to postpone pregnancy, address the gastrointestinal diseases first, and then proceed with pregnancy. If there are gastric or duodenal diseases at such time, pregnancy could possibly exacerbate the condition.