How to treat Helicobacter pylori positive?

Written by Si Li Li
Gastroenterology
Updated on November 12, 2024
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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 Wu Hai Wu
Gastroenterology
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How many times a year should Helicobacter pylori be tested?

If Helicobacter pylori tests positive, then it is necessary to undergo standardized eradication treatment. A re-examination is needed one month after cessation of the eradication treatment to confirm whether the eradication was successful or the treatment failed. If the patient tests negative for Helicobacter pylori, then there is no need for repeated testing. Therefore, the frequency of testing for Helicobacter pylori within a year needs to be analyzed based on specific circumstances, using different testing methods and frequencies according to different situations. Patients infected with Helicobacter pylori should eat light, easily digestible foods, avoid overeating, and avoid spicy and irritating foods.

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Written by Si Li Li
Gastroenterology
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How to treat Helicobacter pylori infection?

Helicobacter pylori has been confirmed as a major cause of chronic gastritis, peptic ulcers, and even gastric cancer. The infection rate of Helicobacter pylori in China is very high, exceeding 50%. It is related to the dietary structure in China, often linked significantly to the practice of sharing dishes during meals, which correlates with China's dietary habits. If someone tests positive for Helicobacter pylori and has symptoms of gastrointestinal disorders, such as indigestion, stomach pain, or bloating, then it is necessary to undergo treatment for Helicobacter pylori. The current standard treatment for Helicobacter pylori involves quadruple therapy: a proton pump inhibitor, two types of antibiotics, and a bismuth agent. This combination of medications is administered over a period of 14 days, representing the standardized treatment for Helicobacter pylori.

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Written by Yang Chun Guang
Gastroenterology
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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.

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Written by Si Li Li
Gastroenterology
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How to treat duodenal ulcer with Helicobacter pylori infection?

The treatment of duodenal ulcer accompanied by Helicobacter pylori infection begins primarily with anti-Helicobacter pylori therapy. The regimen includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent, lasting a total of 14 days. In addition, for duodenal ulcers, it is necessary to use acid-suppressing and stomach-protecting medications to promote gastric mobility and protect the gastric mucosa, with the treatment course lasting six weeks. At the same time, it is important to focus on a light and easily digestible diet, avoiding smoking and drinking alcohol, as well as avoiding strong tea, coffee, spicy, irritating, fried, grilled, raw, cold, and sweet foods. It is also crucial to avoid adverse emotional effects such as anxiety, depression, and stress, prevent excessive fatigue or staying up late, and it is advised to moderately increase physical activity.

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Written by Wu Hai Wu
Gastroenterology
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If Helicobacter pylori is not treated properly, will it become more severe?

Helicobacter pylori infection, if not treated properly, does not necessarily become more severe. However, if treatment fails, it is necessary to undergo re-treatment. It is recommended to visit a hospital and consult with a qualified gastroenterologist to adjust the treatment plan. The choice of specific medications, as well as their dosages and usage, should be carried out according to medical advice. During the treatment of Helicobacter pylori infection, it is important to avoid overeating, maintain regular meal times and portions, consume easily digestible foods, and eat plenty of fresh vegetables and fruits rich in vitamins. Spicy and irritating foods should be avoided.