How to treat Helicobacter pylori infection

Nov 29, 2024 Source: Cainiu Health
Disease description:

Recently, I have been experiencing frequent nausea and poor physical condition. After a gastrointestinal examination, it was found that I am infected with Helicobacter pylori. Therefore, how should Helicobacter pylori infection be treated?

Doctor's answer (1)
Dr. Shen Yonghua

For the treatment of Helicobacter pylori infection, the following approaches can be primarily considered:

1. Combination therapy: Treatment for H. pylori infection typically involves a combination of medications to improve eradication rates and reduce the development of drug resistance. Standard treatment regimens include triple therapy consisting of a proton pump inhibitor (PPI) and two antibiotics, or quadruple therapy that adds bismuth. For example, combinations such as a PPI with clarithromycin and amoxicillin, or a PPI, bismuth, metronidazole, and tetracycline in quadruple therapy.

2. Lifestyle modifications: Although lifestyle factors have limited direct impact on treating H. pylori infection, maintaining healthy habits such as smoking cessation, limiting alcohol consumption, and eating a balanced diet can help improve the gastric environment and support treatment.

3. Hygiene practices: Maintaining good oral hygiene by brushing teeth in the morning and evening, and keeping the mouth clean. Additionally, avoid drinking untreated water or consuming contaminated food to reduce the risk of infection.

Patients should actively cooperate with their physician's treatment plan, take medications as prescribed, and pay attention to adjusting their lifestyle and dietary habits.