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General Practice 2023

H. pylori: what é, symptoms, how to get it and treatment

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H. pylori: what é, symptoms, how to get it and treatment
H. pylori: what é, symptoms, how to get it and treatment

H. pylori, or Helicobacter pylori, is a bacterium that lodges in the stomach or intestine, where it damages the protective barrier and stimulates inflammation, which can cause symptoms such as abdominal pain and burning, in addition to increasing the risk for the development of ulcers and cancer.

The presence of this bacterium can be suspected through the appearance of some symptoms, but its diagnosis is only made through diagnostic tests, such as endoscopy with biopsy or respiratory detection of urea.

Treatment is carried out with the combination of drugs such as omeprazole, clarithromycin and/or amoxicillin, prescribed by the general practitioner or gastroenterologist. in vegetables, white meat, and avoid excessive sauces, condiments and processed foods.See how to diet for gastritis.

Symptoms and how to identify

It is very common for infection by this bacteria not to cause any symptoms. However, H. pylori infection normally causes destruction of the natural barrier of the inner walls of the stomach and intestine, which causes them to be affected by gastric acid, causing inflammation of the tissues in the region. When this happens, symptoms such as:

  • Pain or burning sensation in stomach;
  • Lack of appetite;
  • Sickness;
  • Vomiting;
  • Bloody stool and anemia.

The diagnosis of the presence of H. pylori is usually made with a biopsy of tissue from the stomach or duodenum collected during an endoscopy, with which tests for the detection of the bacteria, such as the urease test, can be performed. tissue culture or evaluation.See how the urease test is done to detect H. pylori.

Other possible tests are the urea respiratory test, serology performed by blood test or the fecal detection test. See more details on identifying the symptoms of H. pylori.

How to transmit

Infection with the bacterium H. pylori is very common, there are indications that it can be caught through saliva or oral contact with water and food that have had contact with contaminated feces, however, its transmission has not yet has been fully clarified.

So, to prevent this infection, it is very important to be careful with hygiene, such as washing your hands before eating and after going to the bathroom, in addition to avoiding sharing cutlery and glasses with other people.

How the treatment is done

It is very common to have H. pylori bacteria without symptoms, often being found in a routine exam, however, treatment is only indicated in the presence of some situations, such as:

  • Peptic ulcer;
  • Gastritis;
  • Intestinal tumor, gastric carcinoma or lymphoma type;
  • Symptoms such as discomfort, burning, or stomach pain;
  • Family history of gastric cancer.

This is because the unnecessary use of antibiotics increases the chances of bacterial resistance and side effects. Learn what to eat to avoid side effects and what foods help fight H. pylori.

Remedies to treat H. pylori

The most commonly used drug regimen to cure H. pylori infection is the combination of a stomach protector, which can be Omeprazole 20mg, Iansoprazole 30mg, Pantoprazole 40mg or Rabeprazole 20mg, with antibiotics, usually Clarithromycin 500mg, Amoxicillin 1000mg or Metronidazole 500mg, which can be used separately or combined in a tablet, such as Pyloripac.

This treatment should be done in a period of 7 to 14 days, 2 times a day, or according to medical advice, and must be strictly followed to avoid the development of drug-resistant bacteria.

Other antibiotic options that can be used in cases of treatment-resistant infections are Bismuth Subsalicylate, Tetracycline, Tinidazole or Levofloxacin, for example.

Home care options

There are homemade alternatives that can complement treatment with medication, as they help to control stomach symptoms and control the proliferation of bacteria, however, they do not replace medical treatment.

Consumption of foods rich in zinc, such as oysters, meats, wheat germ and whole grains, for example, in addition to strengthening the immune system, facilitate the healing of ulcers and reduce inflammation in the stomach.

Foods that help eliminate stomach bacteria, such as natural yogurt, as it is rich in probiotics, or thyme and ginger, as they have antibacterial properties, can also be a great way to help with the treatment.

In addition, there are foods that help control acidity and reduce the discomfort caused by gastritis, such as bananas and potatoes. Check out some recipes for home treatments for gastritis and see how the diet should be during the treatment of gastritis and ulcer.

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