How to treat Helicobacter pylori infection

Written by Si Li Li
Gastroenterology
Updated on December 09, 2024
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Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%. The carbon-14 breath test can be used to detect the presence of Helicobacter pylori infection. If the infection is positive and is accompanied by some symptoms or diseases of the digestive system, eradication treatment for Helicobacter pylori is required.

The treatment regimen consists of a proton pump inhibitor, two antibiotics, and a bismuth agent, lasting for 14 days. After stopping the medication for a month, the carbon-14 breath test is rechecked to confirm whether the Helicobacter pylori has been converted to negative. If the conversion is negative, it indicates that the eradication treatment for Helicobacter pylori was successful. Helicobacter pylori has been confirmed as the main cause of chronic gastritis, peptic ulcer, and gastric cancer, thus if the Helicobacter pylori infection is positive, eradication treatment is necessary.

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Written by Wu Hai Wu
Gastroenterology
43sec home-news-image

What is the reason that Helicobacter pylori treatment causes black stools?

If black stools occur during the treatment of Helicobacter pylori, it is very likely due to the medication-induced black stools caused by taking potassium citrate bismuth or bismuth pectin. However, to rule out the possibility of upper gastrointestinal bleeding, a fecal occult blood test can be conducted for a clear diagnosis. Treatment of Helicobacter pylori infection requires a two-week quadruple therapy that includes bismuth. At the same time, one should avoid overeating and focus on consuming fresh vegetables and fruits rich in vitamins and easy-to-digest foods. It is also advisable to quit smoking and drinking alcohol, and avoid drinking strong tea, coffee, etc.

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Written by Wu Hai Wu
Gastroenterology
45sec home-news-image

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
1min 5sec home-news-image

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 Si Li Li
Gastroenterology
1min 7sec home-news-image

How to treat Helicobacter pylori positive?

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
47sec home-news-image

Do you need to change your toothbrush when treating Helicobacter pylori?

It is recommended to change your toothbrush during the treatment period for Helicobacter pylori. This is because Helicobacter pylori exists not only in the stomach but can also be detected in the saliva, dental plaque, and tongue coating of the mouth. Once infected with Helicobacter pylori, a two-week quad therapy that includes bismuth agents is necessary to eradicate the infection. After eradication, the bacteria might still be present on the toothbrush, which could lead to a recurring infection. Therefore, it is advised that patients change their toothbrush after undergoing treatment for Helicobacter pylori. Patients infected with Helicobacter pylori should undergo the two-week quad therapy including bismuth agents for treatment.