How to treat erosive gastritis without Helicobacter pylori?

Written by Si Li Li
Gastroenterology
Updated on May 02, 2025
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Erosive gastritis primarily presents symptoms such as upper abdominal distension, belching, acid reflux, nausea, vomiting, and indigestion. Diagnosis can be confirmed through gastroscopy, which reveals erosion of the gastric mucosa. If Helicobacter pylori is negative, treatment for erosive gastritis should involve acid suppression, gastric protection, enhancement of gastric motility, and protection of the gastric mucosa. A treatment period of four to six weeks can generally lead to recovery. Additionally, dietary adjustments are crucial: avoid smoking and alcohol, refrain from drinking strong tea and coffee, and do not consume greasy, rich, spicy, fried, grilled, sweet, or cold foods. Milk, soy milk, glutinous rice, and sweet potatoes should also be avoided, favoring instead a diet that is easy to digest. Simultaneously, it is important to increase physical activity to enhance gastrointestinal motility and avoid staying up late.

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Written by Jiang Guo Ming
Gastroenterology
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Helicobacter pylori symptoms

Helicobacter pylori itself is just a bacterium, often parasitizing the stomach or oral cavity of the human body. It cannot be said that Helicobacter pylori has symptoms, but rather that symptoms may occur after being infected by Helicobacter pylori. Many normal people infected with Helicobacter pylori may not exhibit any discomfort. However, if Helicobacter pylori causes gastritis or peptic ulcers, etc., related symptoms may appear. For instance, abdominal pain, bloating, belching, acid reflux, and so on; in cases of peptic ulcers, corresponding symptoms, such as periodic, recurrent episodes of upper abdominal pain associated with eating and so forth, may also occur and will need to be determined based on the specific situation.

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Written by Jiang Guo Ming
Gastroenterology
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Do normal people have Helicobacter pylori?

In my understanding, a “normal person” refers to individuals who do not experience any stomach discomfort. In our country, the infection rate of Helicobacter pylori is extremely high, with reports indicating that over 50% of adults are infected, albeit asymptomatically. Thus, it is certain that many so-called "normal people" are infected with Helicobacter pylori, also known as asymptomatic Helicobacter pylori carriers. This condition also requires antibacterial treatment because there is a close relationship between Helicobacter pylori and gastritis, ulcers, and gastric cancer. Even for patients with chronic superficial gastritis, if Helicobacter pylori is present, eradication therapy is advocated. If not completely eradicated, it often leads to the development of chronic atrophic gastritis, which is a more serious condition.

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Written by Wang Hui Jie
Gastroenterology
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Can gastroscopy detect Helicobacter pylori?

Helicobacter pylori is a type of bacterium, hence it is invisible to the naked eye. However, during a gastroscopy, the gastroenterologist can infer whether a patient is infected with Helicobacter pylori by observing the mucosal appearance under the endoscope. For example, signs such as the disappearance of damages in the tiny veins, nodular changes resembling chicken skin, scattered congested spots, and others. To confirm the presence of a Helicobacter pylori infection, further tests are required. For instance, during a gastroscopy, a rapid urease test can be conducted where a tissue sample from the stomach is tested - this method is quite convenient. Alternatively, a tissue sample can be sent for pathological examination, which might take longer.

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Written by Si Li Li
Gastroenterology
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Does the breath test for Helicobacter pylori require fasting?

Currently, the detection of Helicobacter pylori is highly accurate and specific, and a rapid, simple, and effective method is the Carbon-14 breath test. The Carbon-14 breath test requires no eating within six hours, so it is best to take it on an empty stomach. Therefore, it is preferable to test for Helicobacter pylori on an empty stomach. Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%. Helicobacter pylori is the principal cause of chronic gastritis, peptic ulcers, or gastric cancer. Therefore, if symptoms of the digestive system occur, such as belching, acid reflux, upper abdominal pain, nausea, and poor appetite, it is advisable to conduct a test for Helicobacter pylori, specifically the Carbon-14 breath test, to confirm the infection of Helicobacter pylori.

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Written by Wu Hai Wu
Gastroenterology
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Can I take vitamins B1 and B12 during treatment for Helicobacter pylori?

During the treatment of Helicobacter pylori, it is possible to consume Vitamin B1 and Vitamin B12. The treatment of Helicobacter pylori infection can consider using a bismuth-containing quadruple therapy for two weeks to eradicate the infection. During the treatment of Helicobacter pylori infection, one can also eat fresh vegetables and fruits rich in vitamins, such as kiwis, bananas, apples, etc. It is important to eat regularly and in moderation, consume light, easily digestible foods, and avoid overeating. Spicy and stimulative foods should be avoided, including strong alcohol, strong tea, coffee, etc. At the same time, patients with Helicobacter pylori infection should also ensure adequate rest.