Can I eat cake during the treatment of Helicobacter pylori?

Written by Wu Hai Wu
Gastroenterology
Updated on May 30, 2025
00:00
00:00

During the treatment process for Helicobacter pylori, it is permissible to eat cake, as there are no specific dietary restrictions. However, it is important to avoid spicy and stimulating foods, as well as strong liquor, strong tea, coffee, etc. Treatment for Helicobacter pylori infection may include the use of proton pump inhibitors such as omeprazole and lansoprazole combined with antibiotics like amoxicillin, clarithromycin, and metronidazole, often in a quadruple therapy regimen with bismuth citrate for two weeks aimed at eradicating the infection. Patients with Helicobacter pylori infection should consume easy-to-digest, bland foods and avoid overly spicy and stimulating foods. (Please follow your doctor's prescription when using medications.)

Other Voices

doctor image
home-news-image
Written by Yang Chun Guang
Gastroenterology
36sec home-news-image

Can a barium meal detect Helicobacter pylori?

The most commonly used test for detecting Helicobacter pylori at present is the breath test, which generally comes in two types: carbon-13 and carbon-14, though the testing method is basically fixed. A barium meal test can only detect whether there are large gastric ulcers or the presence of gastric cancer, but Helicobacter pylori is quite small and cannot be detected through a barium meal. Therefore, the detection of Helicobacter pylori typically relies on traditional methods, such as breath tests or tests performed during gastroscopy.

doctor image
home-news-image
Written by Yang Chun Guang
Gastroenterology
50sec home-news-image

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.

doctor image
home-news-image
Written by Yang Chun Guang
Gastroenterology
40sec home-news-image

Can a gastroscopy check for Helicobacter pylori?

Normally, when conducting a gastroscopy, it is possible to test for Helicobacter pylori, but this method of detection is less commonly used in clinical practice nowadays, as it requires undergoing a gastroscopy, which can be quite distressing and may cause nausea and vomiting. Currently, the main method used in clinical practice for detecting Helicobacter pylori is the breath test, typically using carbon-13 or carbon-14. This involves swallowing a capsule and then blowing into a device to test for Helicobacter pylori infection. This method is more convenient, which is why it has increasingly replaced gastroscopy for detecting Helicobacter pylori.

doctor image
home-news-image
Written by Wang Hui Jie
Gastroenterology
1min 6sec home-news-image

Can Helicobacter pylori cure itself?

Can Helicobacter pylori be self-healing? Helicobacter pylori is very stubborn; once infected, adults who do not undergo formal therapeutic interventions will be afflicted for life, meaning the cure rate is close to zero. Children, whose immune functions are not yet fully developed, may experience multiple exposures on the gastric mucosa and short-term colonization before Helicobacter pylori settles permanently, which could potentially lead to either colonization or loss of the bacteria. White populations have stronger immune resistance than colored populations. Tracking reports indicate that 50% of white children may lose the infection after contracting it, while only 4% of black children might. Generally, the infection rate is higher than the self-healing rate, indicating that Helicobacter pylori infections in adults are generally not self-resolving.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 7sec home-news-image

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.