Understanding Helicobacter Pylori and Its Management

Many people do not have a deep understanding of Helicobacter pylori. When patients with gastrointestinal diseases visit the hospital, they are often required to undergo a C14 test, which aims to assess the presence of Helicobacter pylori in the gastrointestinal tract. If the Helicobacter pylori test result shows a positive hp55, is it serious? This case falls into the category of weak positivity and requires eradication with medication. Let's delve into it further.

Is Weak Positivity of Helicobacter Pylori Serious?

1. Helicobacter pylori is often the primary cause of diseases such as gastritis and gastric ulcer, and it can also trigger chronic pharyngitis, esophagitis, oral ulcers, and other peptic ulcer diseases. Symptoms like indigestion, excess gastric acid, bloating, nausea, and belching may arise after the occurrence of gastritis or gastric ulcer. Patients diagnosed with weak positivity for Helicobacter pylori should first use medication to eradicate the bacterium. Without complete elimination of Helicobacter pylori, there will be no progress in treatment.

2. Helicobacter pylori is a highly contagious pathogenic bacterium that can be transmitted through various routes such as kissing, sharing utensils, hands, unclean food, and feces. Therefore, patients infected with Helicobacter pylori should be particularly mindful of personal hygiene to avoid infecting others.

3. Patients infected with Helicobacter pylori often suffer from gastrointestinal diseases, leading to various symptoms, one of the more common ones being halitosis. Even patients with weak positivity for Helicobacter pylori may experience oral odor, which cannot be removed through oral hygiene alone. Normalcy can only be restored after successful treatment and eradication of Helicobacter pylori.

Effective Methods for Managing Helicobacter Pylori Infection

1. The standard quadruple therapy is a commonly used clinical approach for treating Helicobacter pylori infection. This therapy involves the combination of a proton pump inhibitor (PPI), bismuth, and two antibiotics, with a treatment duration of 10-14 days. The specific medications include:

2. Standard doses of proton pump inhibitors include omeprazole 20mg, esomeprazole 20mg, lansoprazole 30mg, rabeprazole 10mg (or 20mg), and pantoprazole 40mg. Patients should choose one of these options.

3. The standard dose of bismuth is bismuth potassium citrate 220mg. The quadruple therapy typically involves taking PPI and bismuth twice daily, half an hour before meals, along with two antibiotics taken after meals.

4. While the quadruple therapy is a commonly used approach, its effectiveness may vary among patients. Some may respond well to the treatment, while others may not see significant changes or may develop resistance, leading to recurrence. It is important to note that combining dietary adjustments with medication can enhance the effectiveness of treatment, reduce side effects, and minimize antibiotic resistance. In some cases, dietary modifications alone may be sufficient to eliminate Helicobacter pylori without the need for medication.