Treatment FAQ

if h pylori thrives in low stomach acid then why give acid reducer with antibiotic treatment

by Queenie Schaden Published 2 years ago Updated 2 years ago

Probiotic-types of remedies (friendly bacteria) consisting of Lactobacillus Acidophilus and Bifidus are an important addition to any therapy for H. Pylori infection, which will help inhibit it, and counteract any headaches, early-morning nausea, or general dyspepsia associated with low stomach acid alone, or following antibiotic therapy, with the acidophilus being best taken at bedtime.

Full Answer

Does Helicobacter pylori cause low stomach acid?

Notice that this list looks suspiciously like the list causes low stomach acid. As a survival mechanism, H. Pylori actually releases chemicals (toxins) that decrease stomach acid. How do you know whether or not you actually have H. Pylori? You can either do a stool sample or a breath test.

What is the paradox of H pylori and stomach acid?

However, H. pylori reduces stomach acid. The paradox IS that having enough stomach acid keeps the valve to the esophagus closed so it cannot be harmed by stomach fluids. Also when the stomach produces stomach acid it also produces bicarbonate of soda. Bicarbonate of soda is what protects the stomach lining from being damaged by the acid.

Why don't antibiotics kill Helicobacter pylori?

That is because antibiotics are toxic, and while they kill H. pylori they will also wipe out good organism as well, leaving the door open to candida/yeast overgrowth. Following are some "Natural Remedies" that have been used with mixed results for H. Pylori:

How does H pylori attack the lining of the stomach?

H. pylori attacks the lining that protects your stomach. The bacteria makes an enzyme called urease. This enzyme makes your stomach acids less acidic (neutralizes them). This weakens your stomach’s lining.

Why do PPI treat H. pylori?

PPIs have a very strong inhibitory effect of gastric acid secretion, resulting in the concentration of antibiotics in the stomach. These two effects might contribute to elevate the anti- H. pylori activity in the hostile environment.

Do acid blockers help H. pylori?

In one study, it was shown that the time with pH above 4 and continuous periods with intragastric pH above 6 were significantly associated with successful treatment of H. pylori, indicating that profound acid suppression was responsible for improved eradication rates.

Does H. pylori thrive in low stomach acid?

Reduced acid production can make you more susceptible to H. pylori because the bacteria can thrive in a low acid environment. Therefore, people with H. pylori are more likely to have low stomach acid.

How do H. pylori survive in the low acidic pH of the stomach?

The ulcer-causing gastric pathogen Helicobacter pylori is the only bacterium known to colonize the harsh acidic environment of the human stomach. H. pylori survives in acidic conditions by producing urease, which catalyzes hydrolysis of urea to yield ammonia thus elevating the pH of its environment.

What antibiotics treat Helicobacter pylori?

The most important antibiotics in H. pylori treatment are clarithromycin, metronidazole, and amoxicillin.

How do PPIs suppress H. pylori?

These are key antibiotics in an eradication treatment of H. pylori infection. In addition, PPIs have a potent activity to concentrate the antibiotics via suppressing gastric juice. Thus, the indirect effect might be an important role to raise the eradication rate by PPI-based triple therapy in clinical aspects.

Do antibiotics cause high or low stomach acid?

Moreover, antibiotics have some digestive side effects such as – Antibiotics also directly irritate the lining of the stomach. In response to irritation, the glands in the stomach secrete more acid. This acid can lead to greater reflux of food and acid into the oesophagus, causing heartburn.

Does H. pylori increase acid in the stomach?

Helicobacter pylori infection increases gastric acid secretion in patients with duodenal ulcers but diminishes acid output in patients with gastric cancer and their relatives.

What happens if antibiotics don't work for H. pylori?

EVIDENCE-BASED ANSWER: Treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple therapy with either levofloxacin-based triple therapy (with amoxicillin and a proton pump inhibitor [PPI]) or a bismuth-based quadruple therapy produces cure rates of 75% to 81%.

What causes Helicobacter pylori to thrive in the stomach?

To survive in the harsh, acidic environment of the stomach, H. pylori secretes an enzyme called urease, which converts the chemical urea to ammonia. The production of ammonia around H. pylori neutralizes the acidity of the stomach, making it more hospitable for the bacterium.

What pH does H. pylori thrive?

H. pylori is bio-energetically a neutralophile, meaning that it prefers neutral or close to neutral pH (i.e. pH 5.5–7.5) to grow in vitro. Stated differently, this means at more acidic or alkaline pH levels, it does not thrive and in fact may die.

Does H. pylori need acid to survive?

Helicobacter pylori requires an acidic environment to survive in the presence of urea.

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