Treatment FAQ

what happens after h pylori treatment

by Dr. Salma Paucek DDS Published 2 years ago Updated 2 years ago
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After successful treatment of H. pylori, you should expect:

  • Improvement in chronic gastritis.
  • Healing of gastric or duodenal h. pylori-induced ulcers.
  • Lower risk of gastric cancer.
  • Your risk of getting gastric MALT lymphoma will be lower. MALT lymphoma is a type of gastric lymphoma that is strongly...
  • In people who already have MALT lymphoma, H. pylori treatment helps the...

Follow-up — After completing H. pylori treatment, repeat testing is usually performed to ensure that the infection has resolved. This is typically done with a breath or stool test (see 'Breath tests' above).Jul 6, 2020

Full Answer

How long does full recovery take after H pylori?

Resolution of gastritis induced by Helicobacter pylori 4-5 weeks after successful eradication of infection using a triple therapy regimen of pantoprazole, amoxycillin and clarithromycin for one week. One-week therapy with a twice daily dose of pantoprazole 40 mg, clarithromycin 500 mg and amoxicillin 1,000 mg, used to eradicate H. pylori causing active inflammation of the gastric mucosa, has led to subsidence of the acute inflammatory changes in all the cases with residual inflammation ...

Why H pylori symptoms return after treatment?

  • Removing bad foods and bad bugs, and anything else that irritates your gut (you may need to run some tests to identify these factors)
  • Restoring digestive function (taking steps to make sure you digest your food properly)
  • Reinoculating with “good” bacteria using fermented foods, prebiotic or probiotic supplements

More items...

How to treat H pylori naturally at home without antibiotics?

pylori Treatments

  • H. pylori Prevention. ...
  • Precautions. If you suspect that you may have a Helicobacter pylori infection, then it is definitely worth getting a H. ...
  • Final Thoughts. Helicobacter pylori is a really important health topic since it’s so common all across the globe. ...

How to get rid of H. pylori naturally?

  • Add one to two teaspoons of licorice root to a cup of water.
  • Bring it to a boil in a saucepan.
  • Simmer and strain. Allow it to cool.
  • Drink it up.

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How long does it take to heal after H. pylori treatment?

If you have ulcers caused by H. pylori, you'll need treatment to kill the germs, heal your stomach lining, and keep the sores from coming back. It usually takes 1 to 2 weeks of treatment to get better.

How do you know when H. pylori is gone after treatment?

Guidelines recommend that all patients treated for H. pylori undergo a breath or stool test two weeks after finishing the medication [1-3]. This is done to be sure that the bacteria were killed.

Why do I still have H. pylori after treatment?

The treatment of H. pylori is not always successful, and one may have a recurrence of the bacterial infection and the ulcer. There also can be another cause for the ulcer not healing such as continued smoking of cigarettes or taking certain ulcer-causing drugs like NSAIDs (ibuprofen, Motrin, naprosyn, aspirin etc.).

Can you still have H. pylori after treatment?

H pylori antibodies can remain present long after successful H pylori eradication. Biopsy-based testing including the rapid urease test or histology also can be used to document H pylori eradication.

Is H. pylori completely curable?

H. pylori is treatable with antibiotics, proton pump inhibitors, and histamine H2 blockers. Once the bacteria are completely gone from the body, the chance of its return is low.

When does H. pylori treatment fail?

The H. pylori treatment failure has been linked to infections with antibiotic resistant strains [13,14,15,16], host genetic polymorphism in the cytochrome that may affect proton pump inhibitor pharmacokinetics (CYP2C19), poor adherence, short duration of therapy and smoking [17,18,19].

How do you prevent H. pylori from coming back?

H. Pylori PreventionPractice good hygiene and hand washing, especially with food preparation.All patients with chronic gastrointestinal symptoms that may be associated with H. ... Patients should complete the full course of therapy (antibiotics and acid blockers) to maximize the potential for a cure.More items...

Can H. pylori come back after antibiotics?

Recurrence of H pylori after a successful eradication is rare in developed countries and more frequent in developing countries[1]. Recrudescence (recolonization of the same strain) rather than reinfection (colonization with a new strain) is considered more likely to be responsible for most of the cases[5].

What happens if H. pylori treatment doesn't work?

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%.

How do you get rid of H. pylori completely?

To eradicate H. pylori, a proton pump inhibitor (PPI), which reduces the secretion of stomach acid, and two types of antibiotics are used. About 80% of patients are reported to have eradicated H. pylori successfully (H.

Will I always test positive for H. pylori?

Blood tests for H pylori can only tell if your body has H pylori antibodies. It cannot tell if you have a current infection or how long you have had it. This is because the test can be positive for years, even if the infection is cured.

How do you feel after H. pylori?

pylori have no problems. However, some people develop problems, such as stomach ulcers. Ulcers may cause no symptoms, or may cause pain or discomfort (usually in the upper abdomen), bloating, feeling full after eating a small amount of food, lack of appetite, nausea, vomiting, and dark or tar-colored stools.

How long do you need to take antibiotics for ulcers?

Antibiotics help kill the bacteria. You may need to take this medicine for 10 to 14 days. Your healthcare provider will prescribe 2 antibiotics at the same time. Antiulcer medicines help decrease the amount of acid that is normally made by the stomach. These help heal or prevent ulcers.

How to get rid of a swollen bowel?

Infection can happen through contact with infected bowel movement, vomit, or saliva. Use soap and warm water. Use an alcohol-based gel if soap and water are not available. Clean your hands before you eat and after you use the bathroom. Clean your hands after you change a baby's diaper.

What is the name of the bacteria that infects the lining of the stomach and upper intestine?

Helicobacter pylori (H. pylori) bacteria infect the lining of the stomach and upper intestine. It is important to treat the infection. H. pylori may lead to changes in the cells of your esophagus or stomach. The cells are changed into intestine cells.

How to get rid of bacteria on food?

Rinse food well before you cook or eat it. Cook food all the way through. Proper handling will help kill any bacteria that may be on your food. Drink clean water from a safe source.

Can Helicobacter pyri be used for commercial purposes?

Helicobacter Pylori (Aftercare Instructions) - What You Need to Know. This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.

What are the symptoms of H pylori?

H pylori symptoms return (or never go away) because of: 1 Collateral damage caused by H pylori and other things 2 Ongoing food sensitivities 3 Eating and lifestyle habits 4 Other bad bugs like Candida, SIBO and intestinal parasites 5 Low stomach acid and other digestive problems 6 Reinfection from family members or sexual partners

How many times can you get H pylori?

But these aren’t the only reasons why H pylori symptoms return. Another important reason is that you can get H pylori twice, three times or as many times as you want, really. Reinfection is more common than people think.

What fungi can accompany H pylori?

Then you have Candida albicans and other fungi, which often accompany H pylori.

Can H pylori cause stomach pain?

With humble honesty, I can tell you that even if you find H pylori in your stomach, it might not be the main reason you feel crap. What do I mean? Well, the main H pylori symptoms – heartburn, tummy pain, reflux, bloating, burping, nausea and so on – can all be caused by other things.

Can you get rid of H pylori?

So you can get rid of H pylori but if you have any of these other critters hanging around in the gut, your symptoms might not budge. This is where a comprehensive home stool test comes in handy. When I did my home tests, I first found H pylori.

Can antibiotics increase your susceptibility to other bacterial problems?

Third, research indicates that antibiotics can increase your susceptibility to other bacterial problems including SIBO and Clostridium difficile.

Does H pylori heal overnight?

Just because H pylori has been cleared out of your stomach, it doesn’t mean your stomach is healthy all of a sudden. Think about it, if you have an infected wound in your finger, sterilizing the wound doesn’t mean it heals overnight. It’s still red, swollen and sore… and for a good few days or weeks afterwards.

How long after H pylori treatment can you get stool antigen?

pylori treatment and you have not done an H. pylori stool antigen test or stomach tissue biopsy (most accurate), wait at least one month and get one of the two tests performed.

What is the best follow up test for H. pylori?

The preferred follow-up procedure: The best follow-up test is still an H. pylori, stool, antigen assay, which detects H. pylori protein present in one’s bowel movement (stool). Unlike antibody assays, this test is positive only in association with active infection. All testing has a margin of error.

How reliable is blood testing for H pylori?

First, blood testing is not a reliable indicator for the verification of successful eradication of the H. pylori bacteria, post-treatment. Secondly, relief of symptoms such as abdominal pain is also an unreliable marker for verifying H. pylori eradication.Nearly all studies have found that successful treatment is associated with a 40 to 50% decrease in IgG levels by 6 months post-treatment. However, only about 25% of successfully treated patients show a complete disappearance of IgG antibodies, even when measured 3.5 years after treatment.

My advices for the after H.pylori treatment

Hello everyone, this is my first post so feel free to move it if its not on the right section. So i've been infected by helicobacter too and it caused chronic gastritis in my case, i've been through so many phases during all of this that i felt like i should have written somewhere what i found useful in case someone has the same. First of i'm gonna describe how it went for me and then my advices. First of all here is my medical condition ( if you want to relate ) -24 yo male -Ok physical condition -Never had weird disease beside appendicitis - Heart rate around 60-75 -Never really had digestive problems ( beside one acidity peak like a year ago, which was quickly healed ) -Live in western europe ( France ) and Thailand What helicobacter caused : -Chronic gastritis -stomach pain - ( Intestine pain ( burn ) ) <= This happened after treatment How i was treated Clarithromycin ( 2x a day 10 days ) amoxicillin ( 2x a day 10 days ) Lansoprazole ( 2x time a day - 4 weeks ) So basically i have been feeling pain in my stomach and burning intestine for like 4 month but i did not think much of it, i thought this would go away and i continued my life as usual since i didn't have any symptom beside the pain ( and sometimes i had days where i was just fine ).

Re: My advices for the after H.pylori treatment

Helico_expert wrote: thanks for sharing your valuable experience. I must say, there are some good advise in your post. eg. positive thoughts!

Re: My advices for the after H.pylori treatment

Thank you so much for your inspiring post. It’s like reading my own story. I am 56 years old and never took one pill in my life until just recently. I own 3 gyms and was working out twice a day until I got tested positive with this H Pylori. Doctor was able to scare me enough to go on antibiotics and FUCK HIM for that.

Re: My advices for the after H.pylori treatment

These days h Pylori bacteria is very smart and resistant to most antibiotics so the eradication is only 50% but killing your digestion is 100%. This is why so many people these days turn to natural treatment which will take longer but without killing your stomach.

How to treat H pylori?

H. Pylori Treatment Failure 1 About 20% of H. pylori treatment fails after initial treatment. 2 Make sure that the patient is compliant with medications. 3 Since the patient has failed an initial course of treatment, we will use an alternate regimen (triple or quadruple therapy) using a different combination of antibiotics for 14 days. 4 We won’t use Clarithromycin unless we have cultures that show that this H. pylori strain is susceptible to Clarithromycin. 5 Will avoid antibiotics that have been used before. 6 Will consider culture with antibiotic sensitivity testing to guide subsequent treatments if the patient fails the second antibiotic combination. 7 Rx: omeprazole (20 mg BID), tetracycline (500 mg BID), metronidazole (500 mg BID), and bismuth subcitrate caplets (240 mg BID), each given twice daily with the midday and evening meals for 14 days 8 Rx: Florastor to prevent C-diff.

How long does a PPI last?

Levofloxacin (250 mg), amoxicillin (1 g), and a PPI each given twice daily for 14 days. Omeprazole (20 mg), tetracycline (500 mg), metronidazole (500 mg), and bismuth subcitrate caplets (240 mg), each given twice daily with the midday and evening meals for 14 days has been shown to result in a 95% eradication rate.

How long does it take to take clarithromycin 500 mg twice daily?

Standard dose PPI twice daily, clarithromycin 500 mg twice daily, metronidazole 500 mg twice daily for 10-14 days ¶.

How often should I take PPI?

Standard dose PPI* twice daily (or esomeprazole 40 mg once daily) plus clarithromycin 500 mg twice daily, and amoxicillin 1000 mg twice daily for 10-14 days ¶.

Can you use clarithromycin on H. pylori?

We won’t use Clarithromycin unless we have cultures that show that this H. pylori strain is susceptible to Clarithromycin.

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