Share on: Facebook Twitter. Show references Peptic ulcers stomach ulcers. Accessed Jan. Papadakis MA, et al. Gastrointestinal disorders. New York, N. Helicobacter pylori infection. Merck Manual Professional Version. Accessed May 6, Helicobacter pylori and cancer. National Cancer Institute. American College of Gastroenterology guideline on the management of Helicobacter pylori infection.
American College of Gastroenterology. Crowe SE. Bacteriology and epidemiology of Helicobacter pylori infection. Indications and diagnostic tests for Helicobacter pylori infection.
Helicobacter pylori adult. If you are taking a PPI , your doctor will ask you to stop taking the PPI medications for one or two weeks before the test. Scope test. You'll be sedated for this test, known as an upper endoscopy exam. During the exam, your doctor threads a long flexible tube equipped with a tiny camera endoscope down your throat and esophagus and into your stomach and duodenum.
This instrument allows your doctor to view any irregularities in your upper digestive tract and remove tissue samples biopsy. These samples are analyzed for H. This test is done to investigate symptoms that may be caused by other conditions such as gastric ulcer or gastritis that may be due to H. The test may be repeated after treatment depending on what is found at the first endoscopy or if symptoms persist after H.
At this second exam, biopsies can be performed to make sure H. This test isn't always recommended solely to diagnose an H. But it may be used to perform detailed testing for doctors to determine exactly which antibiotic to prescribe to treat H. Your doctor also will prescribe or recommend an acid-suppressing drug, to help your stomach lining heal. Your doctor may recommend that you undergo testing for H. If the tests show the treatment was unsuccessful, you may undergo another round of treatment with a different combination of antibiotic medications.
See your primary care doctor if you have signs or symptoms that indicate a complication of H. Your doctor may test and treat you for H. Because appointments can be brief, and because there's often a lot to discuss, it's a good idea to be well prepared for your appointment.
Here's some information to help you get ready for your appointment, and what to expect from your doctor. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet. Before your appointment, you might want to write a list that answers the following questions:. Your time with your doctor is limited. Preparing a list of questions to ask may help you make the most of your time together.
For H. Your doctor is likely to ask you a number of questions. Treatment for H. It usually involves taking a combination of three or four medications multiple times a day for 14 days. And rising antibiotic resistance has made it increasingly difficult to cure the infection. Your doctor will factor in what the antibiotic resistance pattern is like in your region, as well as any drug allergies you might have and other medications you take, to avoid a drug interaction.
Another important consideration is what antibiotics you have taken in the past for other infections. It is best to avoid ones you have already used often, as it is more likely the H. Most experts recommend testing four or more weeks after treatment ends to confirm the infection is cured. After one or more treatment failures, it may be time to have an endoscopy to obtain a culture and identify exactly which antibiotics will kill the bacteria. If you have a condition associated with H.
Testing correctly is important to reliably diagnose the infection and avoid unnecessary treatment. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. Hi, Thank you for the wonderful article.
Was very informative… I recently experienced burning sensation in my stomach and some acid reflux and was diagnosed with h pylori. The doctor diagnosed this through a nasal endoscopy. No ulcers were found. The doctor then suggested me to take an h pylori kit for a week. However when I discussed this with a family doctor back home, he suggested that as my motions were regular and as I had no vomiting sensations and no other major difficulties there was no need to take the h pylori kit.
I have very mild burning sensations that come occasionally during the day which increases when I take cola, or lots of tea.
I also have slight acid reflux in the night.. Should I take the hpylori kit in your opinion. Anup, If your physician thinks that your symptoms might be related to an active H.
Many physicians recommend treatment of an active H. Regards, Wynne Armand. WHO classified this bacteria as one of the resistant bacteria in the world. My doctor keep give me 6 rounds of antibiotics 2 weeks for 1 rounds 3 month of treatment with clarithromycin , ppi, pepto bismol, but the blood test result keep telling it positive. So i use mastic gum now, but no new research about mastic gum killing H plori, the latest research on internet is I hope a lot of scientist can do more research on this.
Because this H Plori has taken my daily life. Now i found glittering of hope maybe if eradicated this H plori my stomach problem will be gone. Martin, Thank you for sharing your story. Perhaps you could discuss with your doctor having one of the other tests to diagnose H.
You would need to stop the PPI for 2 weeks prior to these other tests. It also may be of value to you to have an endoscopy with biopsy and culture to determine which antibiotics the bacteria is sensitive and resistant to, which would help guide your treatment.
Best wishes to you. Too many doctors are pushing the awful antibiotics without ever considering natural alternatives big surprise!
0コメント