Treatment FAQ

what is h pylori infection treatment

by Chase Armstrong Published 3 years ago Updated 2 years ago
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pylori-caused ulcers are treated with a combination of antibiotics and an acid-reducing proton pump inhibitor. Antibiotics: Usually two antibiotics are prescribed. Among the common choices are amoxicillin, clarithromycin (Biaxin®), metronidazole (Flagyl®) and tetracycline.Mar 19, 2021

What is the best treatment for H. pylori?

To date, the bismuth-based triple therapies are the most effective and least costly treatments for the eradication of H pylori, because they have high cure rates even in those patients infected with metronidazole-resistant strains.

What is the fastest way to cure H. pylori?

Antibiotics to kill the bacteria in your body, such as amoxicillin, clarithromycin (Biaxin), metronidazole (Flagyl), tetracycline (Sumycin), or tinidazole (Tindamax). You'll most likely take at least two from this group. Drugs that reduce the amount of acid in your stomach by blocking the tiny pumps that produce it.Dec 7, 2020

What is the main cause of H. pylori?

H. pylori bacteria are usually passed from person to person through direct contact with saliva, vomit or stool. H. pylori may also be spread through contaminated food or water.

What is the standard treatment for H. pylori?

For the last two decades, the recommended treatment for H. pylori eradication is the standard triple therapy (Papastergiou et al. 2014a, b), using a proton pump inhibitor or ranitidine bismuth citrate, combined with clarithromycin and amoxicillin or metronidazole.

What are the first symptoms of H. pylori?

Most people with H. pylori infection have no symptoms. In people who have ulcers due to H.
...
pylori, the first symptoms of ulcers include:
  • Pain or discomfort in the upper abdomen.
  • Feeling full after eating a small amount of food.
  • Bloating.
  • Gas.
  • Loss of appetite.
  • Nausea.
  • Vomiting.
  • Belching (burping)
Feb 9, 2021

Can I treat H. pylori at home?

You shouldn't replace your recommend treatment for H. pylori with natural remedies. With your doctor's approval, you can use natural treatments as adjuvant therapy. This may increase the effects of conventional drugs.

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.

What foods cause H pylori infection?

Some foods may increase the risk of H. pylori infection, and certain dietary habits can trigger stomach lining erosion or otherwise worsen gastritis symptoms.
...
Foods that increase the risk of gastritis
  • red meats.
  • processed meats.
  • foods that are pickled, dried, salted, or smoked.
  • salty foods.
  • fatty foods.
  • alcohol.

Is H. pylori a serious condition?

H. pylori can also inflame and irritate the stomach lining (gastritis). Untreated, long-term H. pylori infection can lead to stomach cancer (rarely).Mar 19, 2021

Is milk good for H. pylori?

Milk. Lactoferrin, a glycoprotein found in both human and cow's milk, has shown inhibitory activity against H. pylori. One study used a combination of antibiotics and lactoferrin from cow's milk, which resulted in a 100 percent eradication rate of H.Jul 31, 2018

What is the second treatment for H. pylori?

The Maastricht V/Florence Consensus Report recommends bismuth quadruple therapy, or fluoroquinolone-amoxicillin triple/quadruple therapy as the second-line therapy for H. pylori infection.Oct 28, 2018

What is the best treatment for H. pylorieradication?

2014a, b), using a proton pump inhibitor or ranitidine bismuth citrate, combined with clarithromycin and amoxicillin or metronidazole.

What are the alternatives to eradication of H. pylori?

Alternative treatments have been proposed for the eradication of H. pylori. Some of them including novel antibiotics or classical ones in different combinations; these treatments are being used in the regular clinical practice as novel and more effective treatments.

Is clarithromycin a triple therapy?

Due to the increase in the prevalence of H. pyloriresistance to antibiotics, triple therapy with clarithromycin is no longer the best treatment for H. pylori, especially in some areas where the local resistance to this antibiotic is higher than 20%. Alternative treatments have been proposed for the eradication of H. pylori.

What are some treatments that are being used in the regular clinical practice?

Some of them including novel antibiotics or classical ones in different combinations; these treatments are being used in the regular clinical practice as novel and more effective treatments. Others therapies are using probiotics associated to antibiotics to treat this infection.

How many people are infected by Helicobacter pylori?

Helicobacter pyloriis a common bacteria infecting about half of world’s population, with higher prevalence in developing countries, where H. pyloricould infect up to 80% of the population (Moayyedi and Hunt 2004), than in developed ones.

What is H. pyloriis involved in?

H. pyloriis also involved in the development of other extra-gastric disorders such as mucosa-associated lymphoid tissue lymphoma (MALT), idiopathic thrombocytopenic purpura, vitamin B12deficiency, and iron deficiency (Kuipers 1997).

What should be taken into account before establishing a treatment plan for the patient to avoid repeated treatments?

Information about local resistant to antibiotics should be taken into account before establishing a treatment plan for the patient to avoid repeated treatments. Several expositions to antibiotic treatments could result in more side effects and a decrease in the percentage of antibiotic resistance.

How to treat H pylori pain?

Eating or taking antacid drugs may relieve this pain. If you have this type of pain or a strong pain that doesn’t seem to go away, you should visit your doctor. A number of other symptoms may be associated with H. pylori infection, including: excessive burping. feeling bloated.

What to do if H pylori pain doesn't go away?

If you have this type of pain or a strong pain that doesn’t seem to go away, you should visit your doctor . A number of other symptoms may be associated with H. pylori infection, including: See your doctor immediately if you experience: However, these are common symptoms that could be caused by other conditions.

Can H pylori cause gastritis?

While infections with this strain of bacteria typically don’t cause symptoms, they can lead to diseases in some people, including peptic ulcers, and an inflammatory condition inside your stomach known as gastritis. H. pylori are adapted to live in the harsh, acidic environment of the stomach.

Can H pylori be spread through food?

This can happen when a person does not wash their hands thoroughly after using the bathroom. H. pylori can also spread through contact with contaminated water or food.

How does H. pylori spread?

H. pylori can also spread through contact with contaminated water or food. The bacteria are believed to cause stomach problems when they penetrate the stomach’s mucous lining and generate substances that neutralize stomach acids. This makes the stomach cells more vulnerable to the harsh acids.

Does H. pylori cause ulcers?

This makes the stomach cells more vulnerable to the harsh acids. Stomach acid and H. pylori together irritate the stomach lining and may cause ulcers in your stomach or duodenum, which is the first part of your small intestine.

What are the symptoms of H pylori?

pylori infection, including: excessive burping. feeling bloated. nausea. heartburn. fever. lack of appetite, or anorexia.

Is H pylori a childhood infection?

H. pylori infection is often acquired in childhood. Risk factors for H. pylori infection are related to living conditions in your childhood, such as: Living in crowded conditions. You have a greater risk of H. pylori infection if you live in a home with many other people.

What are the symptoms of H pylori?

pylori infection, they may include: An ache or burning pain in your abdomen. Abdominal pain that's worse when your stomach is empty. Nausea. Loss of appetite. Frequent burping. Bloating. Unintentional weight loss.

What is the cause of peptic ulcers?

Helicobacter pylori (H. pylori) infection occurs when H. pylori bacteria infect your stomach. This usually happens during childhood. A common cause of peptic ulcers, H. pylori infection may be present in more than half the people in the world. Most people don't realize they have H. pylori infection, because they never get sick from it.

Can you get H pylori without symptoms?

Most people with H. pylori infection will never have any signs or symptoms. It's not clear why this is, but some people may be born with more resistance to the harmful effects of H. pylori. When signs or symptoms do occur with H. pylori infection, they may include: An ache or burning pain in your abdomen. Abdominal pain that's worse ...

How does H pylori spread?

H. pylori bacteria may be passed from person to person through direct contact with saliva, vomit or fecal matter. H. pylori may also be spread through contaminated food or water.

Is H pylori a risk factor?

pylori infection is often acquired in childhood. Risk factors for H. pylori infection are related to living conditions in your childhood, such as: Living in crowded conditions. You have a greater risk of H. pylori infection if you live in a home with many other people.

What are the risk factors for H. pylori?

Risk factors for H. pylori infection are related to living conditions in your childhood, such as: Living in crowded conditions. You have a greater risk of H. pylori infection if you live in a home with many other people. Living without a reliable supply of clean water.

What medicine can kill H pylori?

Bismuth subsalicylate, which may also help kill H. pylori along with your antibiotics. Medicines that block the chemical histamine, which prompts your stomach to make more acid. These are cimetidine ( Tagamet ), famotidine (Fluxid, Pepcid ), nizatidine ( Axid ), or ranitidine ( Zantac ).

How do you get H pylori?

You can get H. pylori from food, water, or utensils. It’s more common in countries or communities that lack clean water or good sewage systems. You can also pick up the bacteria through contact with the saliva or other body fluids of infected people. Many people get H. pylori during childhood, but adults can get it, too.

Can Helicobacter pylori cause ulcers?

These germs can enter your body and live in your digestive tract. After many years, they can cause sores, called ulcers, in the lining of your stomach or the upper part of your small intestine. For some people, an infection can lead to stomach cancer. Infection with H. pylori is common.

Does H pylori cause ulcers?

Infection with H. pylori is common. About two-thirds of the world’s population has it in their bodies. For most people, it doesn’t cause ulcers or any other symptoms. If you do have problems, there are medicines that can kill the germs and help sores heal. As more of the world gets access to clean water and sanitation, ...

Can you get H pylori from saliva?

You can also pick up the bacteria through contact with the saliva or other body fluids of infected people. Many people get H. pylori during childhood, but adults can get it, too. The germs live in the body for years before symptoms start, but most people who have it will never get ulcers. Doctors aren’t sure why only some people get ulcers ...

Can you get ulcers from H pylori?

The germs live in the body for years before symptoms start, but most people who have it will never get ulcers. Doctors aren’t sure why only some people get ulcers after an infection.

Can you get stomach cancer from H. pylori?

Ulcers can bleed into your stomach or intestines, which can be dangerous to your health. Get medical help right away if you have any of these symptoms: It’s not common, but H. pylori infection can cause stomach cancer.

How to treat H pylori in stomach?

pylori infection by following a consistent meal schedule that doesn’t require your stomach to be empty for too long. That may mean you’ll have to eat five or six small meals each day rather than three moderate to large meals.

Can H pylori be eradicated?

Although some of the findings indicated that some agents may have good anti-inflammatory and gastro-protective activities, there are no results that any alternative treatment can truly eradicate, and therefore cure, H. pylori, according to a study published in the World Journal of Gastroenterology.

Can Helicobacter pylori cause gastritis?

Symptoms, Causes, Diagnosis, Treatment, and Prevention. Helicobacter pylori ( H. pylori) is a type of bacteria that can cause an infection in your stomach. If you develop an H. pylori infection, you may not have any signs or symptoms. But it can lead to peptic ulcers, gastritis, and even certain types of stomach cancer.

Can H pylori cause ulcers?

If you develop an H. pylori infection, you may not have any signs or symptoms. But it can lead to peptic ulcers, gastritis, and even certain types of stomach cancer. The good news is that H. pylori can be effectively treated with antibiotics and acid-reducing medicines.

How do you know if you have H pylori?

Signs and Symptoms of H. Pylori. Most people with H. pylori don’t feel sick, but when symptoms do occur, they include the following: Nausea . Stomachache or burning in the stomach. Abdominal pain that’s worse when your stomach is empty. Burping.

What are the symptoms of H pylori?

Most people with H. pylori don’t feel sick, but when symptoms do occur, they include the following: Nausea. Stomachache or burning in the stomach. Abdominal pain that’s worse when your stomach is empty. Burping.

How does H pylori spread?

H. pylori may also spread through contact with an infected person’s saliva, vomit, or fecal matter. Most people who develop an H. pylori infection do so during childhood. Some factors may increase your risk of developing an H. pylori infection: Sharing a crowded living space.

What is H pylori?

What is H. pylori (Helicobacter pylori)? H. pylori (Heliobacter pylori, pronounced Hel-ee-koh-BAK-ter Pie-LORE-ee) is a type of bacteria that infects your stomach. It can damage the tissue in your stomach and the first part of your small intestine (the duodenum). This can cause redness and soreness (inflammation).

Does H pylori cause ulcers?

H. pylori is common. Many people have it. Most people who have it won’t get ulcers or show any symptoms. But it is a main cause of ulcers. 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).

What is the name of the bacteria that infects the stomach?

H. pylori (Heliobacter pylori, pronounced Hel-ee-koh-BAK-ter Pie-LORE-ee) is a type of bacteria that infects your stomach. It can damage the tissue in your stomach and the first part of your small intestine (the duodenum). This can cause redness and soreness (inflammation). In some cases it can also cause painful sores called peptic ulcers in your ...

How is H pylori transmitted?

Health experts don’t know for sure how H. pylori infection is spread. They believe the germs can be passed from person to person by mouth, such as by kissing. It may also be passed by having contact with vomit or stool. This may happen if you: Eat food that was not cleaned or cooked in a safe way.

How old are people with H. pylori?

Over half the people in the U.S. with the bacteria are over 50 years old. Your race or ethnicity. Almost half of all African Americans have the bacteria. For people who come to the U.S. from developing countries, at least 50% of Latinos and 50% of people from Eastern Europe have H. pylori.

How many African Americans have H. pylori?

Almost half of all African Americans have the bacteria. For people who come to the U.S. from developing countries, at least 50% of Latinos and 50% of people from Eastern Europe have H. pylori. Most people first get the bacteria when they are children, but adults can get it too.

What is the enzyme that makes your stomach acidic?

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. Your stomach cells then have greater risk of being hurt by acid and pepsin, strong digestive fluids.

1. The Benefits you will get after H. pylori treatment

In 1994, The NIH consensus conference recognized H. pylori as a cause of gastric and duodenal ulcers. In the same year, International Agency for Research on Cancer Identified H. pylori as a risk factor for gastric adenocarcinoma (reference).

2. The next step after the H. pylori Treatment course

After you complete the 7-14 day course of h. pylori treatment, your doctor usually prescribes a proton pump inhibitor for another 4-8 weeks.

3. When and how your doctor will confirm the eradication

Your doctor will confirm the eradication fro H. pylori after at least four weeks after the end of the treatment course (reference).

4. Treatment failure rate (and its causes)

You should expect a 20% risk of failure of initial h. pylori treatment (reference). In such a case, Your doctor may attempt another course of h. pylori treatment (salvage therapy).

5. Symptoms of h. pylori treatment failure

The most important sign of a good h. pylori treatment is the resolution of your symptoms. The persistence of symptoms may indicate the failure of treatment.

6. How your doctor will deal with treatment failure

Your doctor will confirm a re-test to assess h. pylori eradication. He may request another endoscopy to take a biopsy.

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Overview

  • Helicobacter pylori (H. pylori) infection occurs when H. pylori bacteria infect your stomach. This usually happens during childhood. A common cause of peptic ulcers, H. pyloriinfection may be present in more than half the people in the world. Most people don't realize they have H. pylori infection, because they never get sick from it. If you develo...
See more on mayoclinic.org

Symptoms

  • Most people with H. pylori infection will never have any signs or symptoms. It's not clear why this is, but some people may be born with more resistance to the harmful effects of H. pylori. When signs or symptoms do occur with H. pyloriinfection, they may include: 1. An ache or burning pain in your abdomen 2. Abdominal pain that's worse when your stomach is empty 3. Nausea 4. Los…
See more on mayoclinic.org

Causes

  • The exact way H. pylori infects someone is still unknown. H. pylori bacteria may be passed from person to person through direct contact with saliva, vomit or fecal matter. H. pylorimay also be spread through contaminated food or water.
See more on mayoclinic.org

Risk Factors

  • H. pylori infection is often acquired in childhood. Risk factors for H. pyloriinfection are related to living conditions in your childhood, such as: 1. Living in crowded conditions. You have a greater risk of H. pyloriinfection if you live in a home with many other people. 2. Living without a reliable supply of clean water. Having a reliable supply of clean, running water helps reduce the risk of H…
See more on mayoclinic.org

Complications

  • Complications associated with H. pyloriinfection include: 1. Ulcers. H. pylori can damage the protective lining of your stomach and small intestine. This can allow stomach acid to create an open sore (ulcer). About 10% of people with H. pyloriwill develop an ulcer. 2. Inflammation of the stomach lining. H. pyloriinfection can irritate your stomach, causing inflammation (gastritis). 3. …
See more on mayoclinic.org

Prevention

  • In areas of the world where H. pylori infection and its complications are common, doctors sometimes test healthy people for H. pylori. Whether there is a benefit to testing for H. pyloriinfection when you have no signs or symptoms of infection is controversial among doctors. If you're concerned about H. pylori infection or think you may have a high risk of stomach cancer…
See more on mayoclinic.org

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