why h. pylori won't heal with standard treatment

by Muriel Boehm I Published 2 years ago Updated 2 years ago

Can H pylori infection be cured?

Dec 10, 2016 · This antibiotic resistance is one of the main reasons H pylori treatments fail. Another reason why H pylori isn’t always cured by antibiotics is that they can cause a lot of side effects, which in turn means that people struggle to complete the course. When the course is not completed, it typically does not work.

Will my H pylori symptoms return after treatment?

Aug 14, 2021 · Treatment of H. pylori improves your symptoms and decreases the risk of ulcers, gastric cancers, and others. Persistence or recurrence of your symptoms may indicate h. pylori treatment failure. However, symptoms are not an accurate assessment of treatment failure. Testing is a must. 1. The Benefits you will get after H. pylori treatment.

How long did it take for you to heal from Helicobacter pylori?

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). This weakens your stomach’s lining.

What happens if Helicobacter pylori is left untreated?

Jan 18, 2016 · Why H pylori symptoms sometimes worsen after treatment. Unfortunately, sometimes the antibiotics prescribed for H pylori can actually cause a worsening of symptoms. First, it’s well known that they can cause mild, moderate or truly nasty side effects. Second, they may trigger Candida overgrowth (a few studies actually show this).

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%.

What causes H. pylori treatment failure?

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].May 21, 2019

How do you get rid of stubborn H. pylori?

Treatment usually lasts no more than 2 weeks but recovering from an ulcer due to H. pylori can take longer. Using two antibiotics instead of one may reduce your risk of antibiotic resistance. Antibiotics used to treat H.
...
pylori include:

amoxicillin.
tetracycline.
metronidazole.
clarithromycin.

Can H. pylori persist after treatment?

Treatment failure — Up to 20 percent of patients with H. pylori infection are not cured after completing their first course of treatment. A second treatment regimen is usually recommended in this case. Retreatment usually requires that the patient take 14 days of a proton pump inhibitor and two antibiotics.Jul 6, 2020

Is it difficult to eradicate H. pylori?

The survival capabilities of H pylori in the stomach make it difficult to eradicate, and effective treatment requires multidrug regimens consisting of two antibiotics (usually selected from clarithromycin, metronidazole, amoxicillin, and tetracycline), combined with acid suppressants and bismuth compounds.

How effective is H. pylori treatment?

At 4 weeks, 93% of the patients were cured of their infection, including 3 patients who had previously failed therapy containing metronidazole. This combination is very effective against H pylori and may be an alternative treatment in those patients who are infected with metronidazole-resistant isolates.

How long does it take to recover from H. pylori after 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.Dec 7, 2020

What happens if antibiotics don't work?

When bacteria become resistant, the original antibiotic can no longer kill them. These germs can grow and spread. They can cause infections that are hard to treat. Sometimes they can even spread the resistance to other bacteria that they meet.

What is the third treatment for H. pylori?

In conclusion, in developing countries where resistance to metronidazole is usually very high [12], furazolidone in combination with tetracycline, bismuth and PPI for one week is very effective, safe and cost effective against H pylori as the third-line therapy.

How do I know if my H. pylori is gone?

pylori can be confirmed by a test done on a sample of stools (faeces), by a breath test, by a blood test, or from a biopsy sample taken during a gastroscopy (endoscopy). A one-week course of two antibiotic medicines plus an acid-suppressing medicine will usually clear the H. pylori infection.

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

Repeat testing after treatment is important to be sure H. pylori is gone. Tests may be done using a stool sample, through a breath test and by an upper endoscopy exam.May 5, 2022

Why is H pylori resistant to antibiotics?

This antibiotic resistance is one of the main reasons H pylori treatments fail. Another reason why H pylori isn ’t always cured by antibiotics is that they can cause a lot of side effects, which in turn means that people struggle ...

What antibiotics are used for a swollen ear?

The specific antibiotics included in the treatment include any two of the following: 1 Clarithromycin 2 Amoxicillin 3 Metronidazole 4 Tetracycline 5 Levofloxacin

How successful is H pylori eradication?

Peter Malfertheiner in a report published in the prestigious “Gut” Journal, in 2012, the global success rate for H pylori eradication using antibiotics was about 70%.

What to do if you have H pylori?

When you are diagnosed with H pylori, your doctor will recommend a course of antibiotics to treat the infection.

Can H pylori be cured without antibiotics?

As you may have seen if you’ve read through our case studies, I’ve also worked with hundreds (thousands, in fact) of people who also cured their H pylori without antibiotics.

Do antibiotics cure H pylori?

Antibiotics cure H pylori in some people, but not in others, and the results depend on several factors such as antibiotic resistance and adherence to the treatment regimen. Unfortunately, many doctors assume that antibiotics always cure H pylori and this can lead to a lot of confusion.

Can you take antibiotics for H pylori?

Of course, it doesn’t mean you should not try antibiotics for H pylori, but it’s important that you aware they don’t always work and that leading experts are concerned about the relatively low success rate.

How long does it take for H. pylori to be cured?

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

How to know if you have a good H. pylori treatment?

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.

What is a culture and sensitivity test?

The culture and sensitivity test aims to assess the antibiotic that is good for your specific h. pylori strain.

Why is treatment failure more common?

Treatment failure is becoming more common due to the increased resistance of h. pylori to antibiotics.

When to stop omeprazole before a test?

It is vital to stop PPIs (as omeprazole and esomeprazole) one or two weeks before the test. PPI may affect the results of h. pylori eradication (reference).

What is the most significant factor in treatment failure?

The most significant factor in treatment failure is a genetic mutation in h. pylori stains. The mutant strain becomes resistant to clarithromycin antibiotics (reference).

How long does it take to get a proton pump inhibitor?

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.

What is it called when you have a sore in your stomach?

This is called gastritis. You may get sores or peptic ulcers in your stomach or the first part of your small intestine (duodenum). Ulcer symptoms may include belly or abdominal pain, which can: Go away when you eat or take medicines that reduce your stomach acid level (antacids)

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).

How long does it take for a stool sample to show up in a lab?

A small stool sample is collected and sent to a lab. In 2 or 3 days, the test will show if you have any abnormal bacteria. Breath tests. These can check if there is any carbon after you swallow a urea pill that has carbon molecules. If carbon is found that means that H. pylori has made the enzyme urease .

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 does bacteria pass from person to person?

Health experts don’t know for sure how the bacteria passes from person to person. But having good health habits (hygiene) can help keep you safe. These habits include:

What is the test for esophagogastroduodenoscopy?

It weakens your stomach’s mucous lining. Upper endoscopy, also called EGD (esophagogastroduodenoscopy). This test looks at the lining of your food pipe (esophagus), stomach, and duodenum (the first part of your small intestine). It uses a thin, lighted tube or endoscope. The tube has a camera at one end.

Why do people have bacteria for years?

Most people have the bacteria for years without knowing it because they don’t have any symptoms. Experts don’t know why.

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 is the name of the bacteria that overgrows?

H pylori is one type of nasty bacterium, but there are others. Fancy scientific names like Vibrio, Klebsiella, Salmonella, Campylobacter, E. coli and Yersinia can all overgrow, too, and cause similar symptoms.

What fungi can accompany H pylori?

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

Does H pylori go away?

Why some people’s H pylori symptoms never go away in the first place. Doctors rightly treat H pylori when they find it. But they generally don’t consider three important factors that can prevent symptoms from clearing.

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.

Why is my stomach ulcer not healing?

Mostly, your doctor has tested you for H. pylori . H. Pylori persistence or recurrence after treatment can be the reason why your stomach ulcer is not healing.

What is the cause of ulcers in the stomach?

H. pylori is a bacteria that infects your stomach wall. It is one of the major causes of stomach and duodenal ulcers.

How does chronic disease affect your health?

Chronic disease can affect your overall health, immunity, and tissue healing. For example, organ failures and some chronic diseases may cause failure in stomach ulcer healing.

What is the best treatment for stomach ulcers?

Proton pump inhibitors (such as omeprazole, esomeprazole, and pantoprazole) are the main line of stomach ulcer treatment.

What diseases cause acid secretion?

Diseases that cause increased acid secretion as gastrinoma and hyperparathyroidism.

What is the drug used to treat and prevent osteoporosis?

Alendronate: a drug used to treat and prevent osteoporosis.

Can a malignant stomach ulcer heal?

A stomach ulcer can be malignant. Unfortunately, malignant stomach ulcer s don’t heal with classical drug therapy.

Why am I treating H pylori?

Why am I treating h. pylori. H pylori lowers stomach acid and can cause all sorts of issues. Nutrient malabsorption, ulcers, possible, but rare, cases of stomach cancer or osteoporosis from not absorbing minerals. And of course, it could lead to SIBO again.

What can I take to help my stomach lining?

Anti inflammatory herbs can help sooth stomach lining that is inflamed from an h. pylori infection. I am going to take some DGL, which stands for deglycyrrhizinated licorice. My protocol details are below.

Why is it important to break up H. pylori?

The most important one is a biofilm buster. H. pylori hides under a biological shield and it needs to be broken up to allow the herbs to access the bacteria.

What is the bacteria in my stomach called?

While grateful to be done with SIBO and bloating in my small intestine, I’m still dealing with a bacterial infection in my stomach, called h. pylori.

What is IBS in health?

IBS is a body out of balance. It’s an invitation for change. After solving her own IBS mystery more than a decade ago Angela trained as a health coach to help others. Angela uses both science and intuition to help people figure out what’s out of balance in their body.

How long does it take to treat h. pylori?

I already treated h. pylori once, but the first time didn’t do it. Sometimes one treatment is not enough. Treating h. pylori naturally can take 60 to 90 days and I only treated in for about 45 days.

How to heal from anxiety?

That’s not always easy to do for anxiety types, but it is very good for healing. Getting off your computers and stopping the “health Googling” is a good first step. Get help, create a plan and delegate the healing to your body. Healing works better when you don’t micromanage it and let the worry and control go.

Is Candida pylori related to H pylori?

Candida and H. pylori are often co-related. So proper diagnosis is important to effectively treat both the conditions.

Can you cure Hp with antibiotics?

The cure of Hp usually requires antibiotics. Other things have been tried and have a weaker effect.

Why do I have black stools?

Black stools. These symptoms are often related to gastritis and other complications of H. pylori infection, rather than the infection itself ( 7 ). Summary: Symptoms are rare with H. pylori infection and are often caused by complications rather than the bacteria itself.

How long does it take for broccoli to get rid of H. pylori?

After eight weeks, the broccoli sprouts group saw reductions in H. pylori bacteria, measured by urea breath and stool tests. However, H. pylori levels returned to normal when volunteers stopped eating broccoli sprouts for eight weeks . There was no reduction in the alfalfa sprouts group ( 22 ).

What does H. pylori stand for?

H. pylori stands for Helicobacter pylori. It grows in the digestive tract and is resilient to acidic environments (like that of the stomach). Exposure to H. pylori usually occurs during early childhood, and bacteria can survive an entire lifetime if untreated ( 1, 2 ). This isn’t a big problem in most cases.

What is the test for H. pylori?

Tests for H. pylori are typically ordered for patients with chronic indigestion or in those with ulcers, stomach cancer or certain types of cancer ( 7 ). The American College of Gastroenterology also recommends testing for those who are on long-term aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).

What is the first line of treatment for H. pylori?

Summary: The first line of treatment for H. pylori is often triple therapy —a combination of antibiotics and acid reducers. H. pylori can be difficult to treat, in part because many people have become resistant to clarithromycin, a key antibiotic in triple therapy.

How long does it take to treat H pylori?

One of the more common treatments for H. pylori is known as triple therapy, which includes 1-2 weeks of three different medications ( 9, 10 ).

Why is triple therapy less effective?

Triple therapy has become less successful at treating H. pylori over the past decade. This is mostly because more people are becoming resistant to clarithromycin.

What are the Omega 3 fatty acids in H. pylori?

A new study dug in to inhibitors of menaquinone synthesis in H. pylori . In this study, the authors found that the Omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) inhibited the pathway that H. pylori uses to synthesize menaquinone ( 3 ).

What is the name of the bacteria that causes gastritis?

At the center of this gastritis problem is a little guy named Helicobacter pylori, or H. pylori for short. The oft-maligned bacteria is found in over half the world population but only causes symptoms in 15% of people with it.

Why is H. pylori bad for you?

H. pylori is blamed for ulcers and gastritis, common problems today. It’s important to note that these problems arise when H. pylori overgrows in the stomach. This is why not everyone who has H. pylori in their stomach experiences symptoms.

What are the two primary forms of vitamin K?

Vitamin K exists in 2 primary forms: phylloquinone (K1) and menaquinone (K2) . The vitamin Ks are important for all forms of life with K1 being the form for plants and K2 being the primary form for bacteria and animals.

Which fatty acid inhibits growth of H. pylori?

In this new study, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) were able to inhibit growth of H. pylori by 96% and 78%, respectively. These 2 fatty acids inhibited H. pylori by blocking vitamin K2 synthesis.

What is the purpose of K2?

In bacteria, K2 serves a vital purpose in the generation of energy. Bacteria use menaquinone to move electrons around in aerobic and anaerobic energy processes. H. pylori is one of these bacteria.

Does H. pylori cause stomach cancer?

H. pylori is even blamed for an increased risk of stomach cancer. Preventing H. pylori colonization leads to a small, albeit measurable, reduction in risk of the disease.