What to do if Helicobacter pylori is positive

Helicobacter pylori is a common bacterium in clinical practice. Many gastrointestinal diseases are caused by infection with Helicobacter pylori. Therefore, we must pay attention to the treatment. Helicobacter pylori is contagious to a certain extent. When Helicobacter pylori is positive, it also indicates that the body has gastrointestinal diseases. Delaying treatment may lead to cancer. What should I do if the HP Helicobacter pylori test is positive?

1. Treatment should be started early

This situation needs to be treated correctly under the guidance of a local doctor, because Helicobacter pylori is highly contagious and can be transmitted through hands, unclean food, unclean tableware, feces, etc.! It is recommended to treat correctly under the guidance of a local doctor, and develop good hygiene habits in daily diet to prevent infection. Pay attention to regular and quantitative diet, rich nutrition, soft and easy to digest food, chew small meals slowly; avoid overeating, avoid raw, cold, sour, spicy, fried and irritating food, avoid smoked and pickled food. Pickled foods containing nitrosamines are also carcinogenic, and the positive effect of Helicobacter pylori will increase the chance of cancer!

2. Antimicrobial treatment

If Helicobacter pylori HP is strongly positive, systemic antibacterial treatment should be required. If you had a gastroscopy half a month ago, you don't have to do it so quickly. In the above situation, you can choose to continue antibacterial treatment. Generally, you need to take it for 2 weeks. Choose amoxicillin, clarithromycin dispersible tablets, etc., combined with omeprazole treatment, and regularly check HP.

3. Others

The treatment options for Helicobacter pylori-positive patients include two major categories, which are basically commonly used drugs. One is a plan based on bismuth preparations, and the other is a plan represented by proton pump inhibitors. Add two antibiotics, the most commonly used is amoxicillin, and the other is metronidazole. These three options are what we often use. For patients with gastritis or those who are not financially well off, this option is easier to use and can achieve 80% eradication. This regimen is not suitable for patients who are allergic to penicillin. Those who are allergic to penicillin can switch to tetracycline drugs, which are also more effective against Helicobacter pylori. They can be used with metronidazole for one week. If there is gastric ulcer, ranitidine or famotidine can be added. The other is Losec. If you are allergic to penicillin, you can switch to tetracycline, and metronidazole can be replaced with clarithromycin.