How to treat duodenal ulcer with Helicobacter pylori infection?

Written by Si Li Li
Gastroenterology
Updated on November 13, 2024
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The treatment of duodenal ulcer accompanied by Helicobacter pylori infection begins primarily with anti-Helicobacter pylori therapy. The regimen includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent, lasting a total of 14 days.

In addition, for duodenal ulcers, it is necessary to use acid-suppressing and stomach-protecting medications to promote gastric mobility and protect the gastric mucosa, with the treatment course lasting six weeks. At the same time, it is important to focus on a light and easily digestible diet, avoiding smoking and drinking alcohol, as well as avoiding strong tea, coffee, spicy, irritating, fried, grilled, raw, cold, and sweet foods. It is also crucial to avoid adverse emotional effects such as anxiety, depression, and stress, prevent excessive fatigue or staying up late, and it is advised to moderately increase physical activity.

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Written by Wu Hai Wu
Gastroenterology
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Can you kiss during the treatment period for Helicobacter pylori?

During the treatment of Helicobacter pylori, it is advisable to avoid kissing, as Helicobacter pylori may be present in saliva, and kissing could transmit the infection to a partner. Also, avoid consuming strong alcohol, strong tea, coffee, and other spicy and irritant foods. Eat regularly and in moderation, chew slowly, and consume easily digestible foods along with fresh vegetables and fruits rich in vitamins, such as apples, bananas, tomatoes, and kiwis. It is recommended to use separate meals during the treatment of Helicobacter pylori infection to prevent transmission.

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Written by Wu Hai Wu
Gastroenterology
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Can I drink coffee during the treatment for Helicobacter pylori?

It is not recommended to drink coffee during the treatment for Helicobacter pylori. During the treatment for Helicobacter pylori infection, it is advised to consume more fresh vegetables and fruits rich in vitamins, maintain regular meals, and eat light, easily digestible foods. Avoid strong alcohol, strong tea, coffee, and also greasy foods. The main methods for detecting Helicobacter pylori infection are the carbon-13 urea breath test or the carbon-14 urea breath test. If the test results are positive, a standard eradication treatment using a bismuth-containing quadruple therapy for two weeks should be implemented. Additionally, a re-examination is needed one month after discontinuing the medication to confirm whether the eradication is complete.

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Written by Si Li Li
Gastroenterology
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Is Helicobacter pylori three pluses serious?

Three pluses for Helicobacter pylori indicate that there is an infection with Helicobacter pylori, and the level of infection is not low. Helicobacter pylori is the main cause of chronic gastritis, peptic ulcers, and even stomach cancer. If a person tests positive for Helicobacter pylori infection, and has symptoms or diseases related to the digestive system, or has a family history of stomach cancer, eradication treatment for Helicobacter pylori is necessary. The treatment involves a proton pump inhibitor plus two types of antibiotics, along with a bismuth agent, for a total of 14 days. After stopping the medication for one month, a carbon-14 breath test should be re-conducted. If the result turns negative, it means that the eradication treatment for Helicobacter pylori was successful. If it does not turn negative, remedial treatment is required.

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Written by Jiang Guo Ming
Gastroenterology
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Do normal people have Helicobacter pylori?

In my understanding, a “normal person” refers to individuals who do not experience any stomach discomfort. In our country, the infection rate of Helicobacter pylori is extremely high, with reports indicating that over 50% of adults are infected, albeit asymptomatically. Thus, it is certain that many so-called "normal people" are infected with Helicobacter pylori, also known as asymptomatic Helicobacter pylori carriers. This condition also requires antibacterial treatment because there is a close relationship between Helicobacter pylori and gastritis, ulcers, and gastric cancer. Even for patients with chronic superficial gastritis, if Helicobacter pylori is present, eradication therapy is advocated. If not completely eradicated, it often leads to the development of chronic atrophic gastritis, which is a more serious condition.

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Written by Yang Chun Guang
Gastroenterology
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Is a gastroscopy examination accurate for detecting Helicobacter pylori?

Gastroscope testing for Helicobacter pylori is conducted under a gastroscope and is quite accurate. However, nowadays, if one is only testing for Helicobacter pylori, it generally does not require an endoscopic examination, since undergoing a gastroscope is an uncomfortable process that can cause nausea. Currently, Helicobacter pylori can be detected using a breath test method involving carbon-13 or carbon-14. This involves swallowing a capsule and then performing a breath test. It is crucial to fast before the test, as eating can affect the accuracy of the results. Therefore, although gastroscope testing for Helicobacter pylori is accurate, it is less commonly used nowadays.