How to treat a positive Helicobacter pylori antibody test
In general, a positive Helicobacter pylori antibody test usually indicates a past or current infection with Helicobacter pylori, which may lead to conditions such as functional dyspepsia, gastritis, chronic atrophic gastritis, duodenal ulcer, and gastric ulcer. Depending on the specific situation, medication treatment or other methods can be used for treatment or relief. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under the guidance of a physician. Detailed analysis is as follows:

1. Functional Dyspepsia
After Helicobacter pylori infection, gastric emptying may be affected, causing food to remain in the stomach for an extended period, leading to functional dyspepsia, accompanied by belching, nausea, and other symptoms. Patients may take medications such as Jianwei Xiaoshi tablets, Simo Tang oral liquid, and Domperidone tablets under a doctor's guidance.
2. Gastritis
The urease produced by the bacteria breaks down urea to produce ammonia, which damages the gastric mucosal barrier, triggering an inflammatory response accompanied by pain and a feeling of fullness. Patients may take medications such as复合凝乳酶胶囊 (Compound Rennet Enzyme Capsules), Potassium Bicarbonate Citrate tablets, and Colloidal Pectin Bismuth capsules under medical advice.
3. Chronic Atrophic Gastritis
Helicobacter pylori infection causes persistent inflammation of the gastric mucosa, ultimately leading to mucosal atrophy, accompanied by upper abdominal discomfort and anemia. Patients may take medications such as Amoxicillin capsules, Amoxicillin tablets, and Esomeprazole Magnesium Enteric-coated tablets as advised by a physician.
4. Duodenal Ulcer
Helicobacter pylori infection weakens the gastric mucosal barrier, allowing gastric acid and pepsin to erode the mucosa, leading to ulcer formation, accompanied by upper abdominal pain that often worsens several hours after meals. Patients may take medications such as Rabeprazole Sodium Enteric-coated tablets, Lansoprazole tablets, and Potassium Bicarbonate Citrate tablets under medical supervision.
5. Gastric Ulcer
Helicobacter pylori infection reduces the defensive capacity of the gastric mucosa, leading to damage from gastric acid and pepsin, possibly accompanied by upper abdominal pain that appears immediately or shortly after meals. Patients may take medications such as Cimetidine Injection, Belladonna tablets, and Cimetidine tablets under a doctor's guidance.
In daily life, avoid sharing eating utensils, towels, and other personal items with others to reduce the risk of infection. Additionally, wash hands frequently and maintain good oral hygiene.