Helicobacter Pylori

Helicobacter pylori (H. pylori) is a spiral-shaped bacteria that infects the stomach lining, causing:
✔ Chronic gastritis (stomach inflammation)
✔ Peptic ulcers (stomach/duodenal ulcers)
✔ Increased risk of stomach cancer in some cases


How Do You Get H. pylori?

The infection is very common (affects ~50% of people worldwide) and spreads through:
✅ Contaminated food/water
✅ Close contact (kissing, sharing utensils)
✅ Poor hygiene (not washing hands)

Most infections occur in childhood and persist if untreated.


Symptoms of H. pylori Infection

  • Burning stomach pain (worse on an empty stomach)

  • Frequent bloating & nausea

  • Loss of appetite

  • Unexplained weight loss

  • Dark stools (if ulcers bleed)

⚠️ Many people have NO symptoms but still develop complications.


Diagnosis: How is H. pylori Detected?

TestHow It WorksBest For
Urea Breath TestDetects bacterial byproducts in breathNon-invasive, accurate
Stool Antigen TestChecks for H. pylori in stoolEasy for children
Endoscopy + BiopsyExamines stomach lining directlySevere cases, cancer screening

Treatment: Eradicating H. pylori

1. Antibiotic Therapy (Triple or Quadruple Therapy)

  • 2 antibiotics (e.g., amoxicillin, clarithromycin)

  • Proton pump inhibitor (PPI) (reduces stomach acid)

  • Bismuth subsalicylate (in some regimens)

2. Follow-Up Testing

  • Repeat breath/stool test 4 weeks after treatment

  • Second-line therapy if first fails (due to antibiotic resistance)


Possible Complications If Untreated

❌ Chronic ulcers (bleeding, perforation risk)
❌ Stomach cancer (1–3% of cases)
❌ Vitamin B12 deficiency (due to poor absorption)


Prevention Tips

✔ Wash hands before eating
✔ Drink clean water (avoid untreated sources)
✔ Avoid sharing food/drinks with infected individuals


FAQs About H. pylori

Q: Is H. pylori contagious?

A: Yes—it spreads through saliva, vomit, or stool.

Q: Can diet help fight H. pylori?

A: Probiotics (yogurt, kefir) may support treatment, but antibiotics are essential.

Q: Does H. pylori always cause ulcers?

A: No—only ~10–20% develop ulcers.


When to See a Doctor

Seek medical help if you have:
🔹 Persistent stomach pain
🔹 Black/tarry stools (sign of bleeding)
🔹 Unexplained weight loss

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