How is Helicobacter pylori treated?

How to treat and eradicate Helicobacter pylori (HP positive+)

Once infected with Helicobacter pylori, it is difficult to completely eliminate it by taking antibiotics, and most people will carry this bacterium for life. Helicobacter pylori mainly exists in the mouth and gastrointestinal tract, and many people don't know that they are infected. If you often feel stomachache (easy to attack when the season and climate change), abdominal distension, indigestion, bad breath, acid reflux, belching, etc. You are probably infected with Helicobacter pylori, so you should go to the hospital for Helicobacter pylori examination as soon as possible.

Dr. Xiao said that Helicobacter pylori is highly contagious. It enters the human body through infected food and water and "settles" and reproduces on the gastric mucosa, which first leads to gastritis, and then develops into gastric ulcer and gastric cancer. Generally, it spreads through three ways: first, boiling the chopsticks for 10- 15 minutes every day can kill most of Helicobacter pylori; The second is to touch the store. People with Helicobacter pylori can contaminate bedding and pillows through saliva and breath, leading to infection among family members. They should always disinfect and replace bedding and pillows. Third, pets such as cats and dogs are easy to carry Helicobacter pylori, so close contact with pets should be avoided.

Drug treatment of helicobacter pylori infection, usually take 2~3 kinds of antibiotics and proton pump inhibitors, commonly known as triple therapy. However, Helicobacter pylori is easy to develop drug resistance, and brings side effects of destroying probiotics in digestive tract. Middle-aged and elderly friends can do three things well in their daily life, which can also play a role in preventing and treating Helicobacter pylori. Cleaning the mouth is an important source of Helicobacter pylori infection. Treatment with metronidazole and other antibiotics can generally kill Helicobacter pylori in the stomach, but it is often ineffective in the mouth, which makes it easy for bacteria in the mouth to enter the gastrointestinal tract and lead to repeated infections. Therefore, in order to prevent gastrointestinal infection, we must first thoroughly eliminate Helicobacter pylori in the mouth.

There are also a large number of Helicobacter pylori in dental plaque. When the human body's resistance drops, Helicobacter pylori will make waves when swallowed with saliva or food, leading to the onset of stomach diseases. Helicobacter pylori in the mouth can also cause bad breath. To prevent and treat Helicobacter pylori, we must pay attention to oral cleaning, change the toothbrush every month, and insist on gargling and brushing after every meal to prevent plaque and plaque formation. In addition, a self-made medicinal toothpaste for killing Helicobacter pylori can be made. 20 grams of mint leaves (available in pharmacies) are ground into powder, and 60 grams of toothpaste is squeezed out and put into a clean container. Adding peppermint powder and stirring evenly, brushing your teeth for 30 days every day can effectively kill Helicobacter pylori parasitic on dental plaque.

Middle-aged and elderly friends who wear dentures should pay more attention to keeping their mouths clean. Before going to bed every night, they should take off their false teeth and soak them in rice washing water. When they get up the next day, they should take them out, rinse them in clean water with a soft brush and put them in their mouths. Rice washing water contains a variety of biological enzymes, which has decontamination function and can avoid the formation of dental plaque, and rice washing water has no corrosive effect on dentures. Food disinfection

Cabbage has the function of antibiotic, which can kill many kinds of bacteria including Helicobacter pylori. Drinking14 cabbage juice every day can relieve abdominal pain caused by gastric ulcer and duodenal ulcer after 3 weeks, which is helpful to the healing of two kinds of ulcer diseases. Cabbage also contains a chemical similar to gastrin ketone, which can secrete mucus from gastrointestinal cells to form a barrier, thus isolating it from gastric acid and protecting the stomach from harm. The fresher the cabbage, the better the anti-ulcer effect.

Purple garlic can inhibit the reproduction of Helicobacter pylori. Fresh garlic tastes spicy and has strong bactericidal power. Eat 1 purple garlic raw at dinner every day, and the antibacterial effect will appear after two weeks.

When the experimental concentration of honey is 20 ~/6, it can inhibit all Helicobacter pylori. When the concentration is 10%, it can inhibit half of Helicobacter pylori. Honey mainly inhibits helicobacter pylori through osmosis; Therefore, honey should be drunk after meals to prolong its residence time in gastric mucosa. Put 30 ml of honey into a bowl, stir with chopsticks until it bubbles, add 120 ml of warm water and mix well, then drink slowly.

Clove is a common Chinese herbal medicine, which has a strong anti-Helicobacter pylori effect. Drink 6 grams of cloves in water every day for two weeks.

Drinking tea with cold boiled water contains a lot of tea polyphenols, which has a strong effect on killing Helicobacter pylori. However, tea also contains caffeine, which will promote the secretion of gastric acid, which is not good for gastrointestinal ulcers. Making tea with cold boiled water can reduce the dissolution of caffeine and will not secrete gastric acid. 5 grams of tea leaves are soaked in cold boiled water for half an hour before drinking.

Broccoli Fresh broccoli contains a lot of sulforaphane, which helps to fight Helicobacter pylori. The results showed that the level of Helicobacter pylori antigen in the feces of people who ate broccoli every day could be reduced by more than 40%. Cut 200 grams of broccoli into small pieces, quickly scald it with boiling water, and serve cold. Reduce gastric acid

Hp ......

What should I do if Helicobacter pylori is not cured for a long time?

1, Helicobacter pylori resistance. The resistance of Helicobacter pylori strains infected by patients to antibiotics used is the main factor leading to treatment failure. It was found that the eradication rate of Helicobacter pylori in the retreatment group was significantly lower than that in the initial treatment group. Under the same treatment scheme, the eradication rate of Helicobacter pylori gradually decreased with the passage of time. Some patients who failed first-line treatment still failed after entering second-line treatment. The root cause is that the resistance of Helicobacter pylori to some antibiotics is getting stronger and stronger.

2. Patient's compliance. The failure of eradication treatment may be caused by patients not completing the course of treatment as required, taking drugs irregularly and reducing the dosage. Some patients have serious clinical symptoms, and the adverse reactions of eradication drugs may aggravate their clinical symptoms and make them unable to insist on taking drugs. For these patients, eradication of Helicobacter pylori can be suspended. At the same time, it is necessary to emphasize the importance of completing the course of treatment as required in order to get the cooperation of patients when eradicating Helicobacter pylori.

Helicobacter pylori infection is now mainly treated by anti-Helicobacter pylori drugs. Although Helicobacter pylori is sensitive to many antibacterial drugs in vitro, the use of drugs in vivo is not so satisfactory. This is because Helicobacter pylori is mainly parasitic in mucus.

prospecting instrument

Below this layer, the surface of gastric epithelial cells. Injection has no effect on it, and the oral effect is greatly limited because of the gastric acid environment, the barrier of mucus layer and the continuous emptying of the stomach. In addition, some drugs are prone to serious side effects or drug-resistant strains after long-term application. Therefore, acute and chronic gastritis, peptic ulcer and other seemingly easy-to-treat diseases caused by Helicobacter pylori infection are not always effective. What's more, there is no suitable animal model of Helicobacter pylori infection at present, which can help to formulate effective treatment plans. Therefore, the current treatment scheme is almost based on clinical experience and has great limitations (due to differences between regions and populations). Generally speaking, it is not recommended to use a single antibacterial drug at present because of its low cure rate.

The selection principles of treatment plan are as follows: ① combined medication; ② Eradication rate of Helicobacter pylori: 80%, preferably above 90%; ③ No obvious side effects, and the patient is well tolerated; ④ The patient's economic endurance. The curative effect of Helicobacter pylori infection should be judged by the eradication rate of Helicobacter pylori, not the clearance rate. Eradication means that there is no bacterial growth confirmed by bacteriology, histopathology or isotope tracing within at least one month after the termination of treatment.

Pay attention to oral hygiene before eradicating helicobacter pylori. Use mouthwash and antibacterial toothpaste for a period of time to repair oral problems such as tooth decay, tartar and calculus. You can change your braces first. Dental appliances should not be placed in the bathroom, but should be placed where the sun can shine. Bathrooms without windows should be disinfected regularly with ultraviolet lamps for more than 30 minutes. Mouth cups, water cups and stainless steel thermos cups should not be mixed, and they should be cooked and disinfected frequently, especially during drug treatment.

At present, commonly used anti-Helicobacter pylori drugs at home and abroad include Weifuchun tablets, amoxicillin, metronidazole, clarithromycin, tetracycline, doxycycline, furazolidone, organic colloidal bismuth (de-nol) and so on. ), music, stomach, dampness, and peace. Patients with peptic ulcer can be properly combined with proton pump inhibitor or h2 receptor antagonist plus two antibiotics, or proton pump inhibitor (such as omeprazole) plus one antibiotic. The course of treatment is usually two weeks. Due to the wide application of antibacterial schemes for the treatment of Helicobacter pylori infection, it is possible to expand the problem of drug resistance. Therefore, the study of alternative treatment or preventive strategies, such as vaccine prevention or immunotherapy, is a problem worthy of attention in the future.

Is helicobacter pylori serious?

Helicobacter pylori diseases include gastritis, digestive tract ulcer and lymphoproliferative gastric lymphoma caused by Helicobacter pylori infection.

Gastric cancer is the poor prognosis of helicobacter pylori disease.

Once infected with Helicobacter pylori, it is difficult to completely eliminate it by taking antibiotics, and most people will carry this bacterium for life. Helicobacter pylori mainly exists in the mouth and gastrointestinal tract, and many people don't know that they are infected. If you often feel stomachache (easy to attack when the season and climate change), abdominal distension, indigestion, bad breath, acid reflux, belching, etc. You are probably infected with Helicobacter pylori, so you should go to the hospital for Helicobacter pylori examination as soon as possible.

Dr. Xiao said that Helicobacter pylori is highly contagious. It enters the human body through infected food and water and "settles" and reproduces on the gastric mucosa, which first leads to gastritis, and then develops into gastric ulcer and gastric cancer. Generally, it spreads through three ways: first, boiling the chopsticks for 10- 15 minutes every day can kill most of Helicobacter pylori; Followed by the bed. People with Helicobacter pylori can contaminate bedding and pillows through saliva and breath, leading to infection among family members. They should be disinfected and replaced frequently. Third, pets such as cats and dogs are easy to carry Helicobacter pylori, so close contact with pets should be avoided.

Drug treatment of helicobacter pylori infection, usually take 2~3 kinds of antibiotics and proton pump inhibitors, commonly known as triple therapy. However, Helicobacter pylori is easy to develop drug resistance, and brings side effects of destroying probiotics in digestive tract. Middle-aged and elderly friends can do three things well in their daily life, which can also play a role in preventing and treating Helicobacter pylori. Cleaning the mouth is an important source of Helicobacter pylori infection. Treatment with metronidazole and other antibiotics can generally kill Helicobacter pylori in the stomach, but it is often ineffective in the mouth, which makes it easy for bacteria in the mouth to enter the gastrointestinal tract and lead to repeated infections. Therefore, in order to prevent gastrointestinal infection, we must first thoroughly eliminate Helicobacter pylori in the mouth.

There are also a large number of Helicobacter pylori in dental plaque. When the human body's resistance drops, Helicobacter pylori will make waves when swallowed with saliva or food, leading to the onset of stomach diseases. Helicobacter pylori in the mouth can also cause bad breath. To prevent and treat Helicobacter pylori, we must pay attention to oral cleaning, change the toothbrush every month, and insist on gargling and brushing after every meal to prevent plaque and plaque formation. In addition, a self-made medicinal toothpaste for killing Helicobacter pylori can be made. 20 grams of mint leaves (available in pharmacies) are ground into powder, and 60 grams of toothpaste is squeezed out and put into a clean container. Adding peppermint powder and stirring evenly, brushing your teeth for 30 days every day can effectively kill Helicobacter pylori parasitic on dental plaque.

Middle-aged and elderly friends who wear dentures should pay more attention to keeping their mouths clean. Before going to bed every night, they should take off their false teeth and soak them in rice washing water. When they get up the next day, they should take them out, wash them in clean water with a soft brush and put them in their mouths. Rice washing water contains a variety of biological enzymes, which has decontamination function and can avoid the formation of dental plaque, and rice washing water has no corrosive effect on dentures. Food disinfection

Cabbage has the function of antibiotic, which can kill many kinds of bacteria including Helicobacter pylori. Drinking14 cabbage juice every day can relieve abdominal pain caused by gastric ulcer and duodenal ulcer after 3 weeks, which is helpful to the healing of two kinds of ulcer diseases. Cabbage also contains a chemical similar to gastrin ketone, which can secrete mucus from gastrointestinal cells to form a barrier, thus isolating it from gastric acid and protecting the stomach from harm. The fresher the cabbage, the better the anti-ulcer effect.

Purple garlic can inhibit the reproduction of Helicobacter pylori. Fresh garlic tastes spicy and has strong bactericidal power. Eat 1 purple garlic raw at dinner every day, and the antibacterial effect will appear after two weeks.

When the experimental concentration of honey is 20 ~/6, it can inhibit all Helicobacter pylori. When the concentration is 10%, it can inhibit half of Helicobacter pylori. Honey mainly inhibits helicobacter pylori through osmosis; Therefore, honey should be drunk after meals to prolong its residence time in gastric mucosa. Put 30 ml of honey into a bowl, stir with chopsticks until it bubbles, add 120 ml of warm water and mix well, then drink slowly.

Clove is a common Chinese herbal medicine, which has a strong anti-Helicobacter pylori effect. Drink 6 grams of cloves in water every day for two weeks.

Drinking tea with cold boiled water contains a lot of tea polyphenols, which has a strong effect on killing Helicobacter pylori. However, tea also contains caffeine, which will promote the secretion of gastric acid, which is not good for gastrointestinal ulcers. Making tea with cold boiled water can reduce the dissolution of caffeine and will not secrete gastric acid. 5 grams of tea leaves are soaked in cold boiled water for half an hour before drinking.

Broccoli Fresh broccoli contains a lot of sulforaphane, which helps to fight Helicobacter pylori. Studies have found that the level of Helicobacter pylori antigen in human feces who eat broccoli every day can be ......

Eradication of Helicobacter pylori by dietotherapy

Try to eat separately. The infection rate of Helicobacter pylori is as high as 50% to 60%. At present, Helicobacter pylori is the most common infectious bacteria in human beings, and about half of the world's population is infected with Helicobacter pylori. It is a spiral micro-aerobic Gram-negative Bacillus, which colonizes human gastric mucosa and is the main cause of chronic gastritis and peptic ulcer. About 67% to 80% of gastric ulcer and 95% of duodenal ulcer are caused by Helicobacter pylori, and its infection is closely related to the occurrence of gastric cancer and gastric mucosa-associated lymphoid tissue lymphoma. Zheng Qing, an associate professor at Shanghai Institute of Digestive Diseases, said that human beings are the only natural reservoir of Helicobacter pylori, and it mainly spreads through the digestive tract, that is, through mouth-to-mouth and feces-to-mouth routes. The infection rate of Helicobacter pylori in the population is as high as 50% to 60%, which may lead to different outcomes: some are asymptomatic carriers, but most of them cause chronic gastritis of different degrees, about 10% to 15% may cause peptic ulcer, and a few may even cause gastric malignant tumor. The suspicion of bad breath is that this bacterium may cause gastric cancer to be infected with Helicobacter pylori, which may lead to bad breath. In severe cases, there is often a special oral odor, no matter how clean it is, it cannot be removed. In addition, infection with Helicobacter pylori may increase the risk of gastric cancer by 2.7 times to 12 times. If there is no helicobacter pylori infection, at least a considerable number of patients' gastric cancer will not occur. The International Institute for Cancer Research under the World Health Organization defines Helicobacter pylori as a human class I carcinogen. China is one of the countries with high incidence of Helicobacter pylori infection. As the main cause of chronic gastritis, peptic ulcer and gastric cancer, the feasible measures to treat peptic ulcer and prevent gastric cancer are to prevent and eradicate Helicobacter pylori infection. Because about 80% of patients with early gastric cancer have no symptoms, even some symptoms of a few patients are nonspecific, such as loss of appetite, early satiety and abdominal discomfort. This is easily overlooked peptic ulcer or other gastrointestinal diseases. * * * Kissing with tableware can infect Helicobacter pylori. The characteristics of transmission make the infection obviously gather in families, and the probability of infection of their children after their parents are much higher than that of other families. Helicobacter pylori widely exists in saliva and dental plaque of infected people. Associate Professor Zheng Qing reminded that contact with infected saliva and eating food contaminated by Helicobacter pylori can cause infection, such as: * * * * using tableware, feeding the baby after chewing food, and even kissing the infected person deeply. In addition, washing hands before and after meals is also a way to reduce transmission through feces. If you find yourself infected, the chances of family members being infected will also increase. Once it is confirmed that family members are also infected with Helicobacter pylori, they can be treated at the same time if necessary. There are many methods to detect and treat Helicobacter pylori, which can be roughly divided into invasive (such as rapid urease test, serum antibody detection, etc. ) and non-invasive (such as 13C or 14C breath test, fecal antigen detection, etc. ) Helicobacter pylori infection can be cured. Associate Professor Zheng Qing said that after 1 to 2 weeks of regular anti-Helicobacter pylori treatment, most infected people can be cured. Commonly used antibiotics include amoxicillin, clarithromycin and metronidazole. All patients with peptic ulcer, whether in active or healing stage, should eradicate helicobacter pylori; Patients with Helicobacter pylori positive gastric mucosa-associated lymphoid tissue lymphoma and early gastric cancer must be eradicated after surgery. Radical treatment is also recommended for patients with chronic atrophic gastritis, family history of gastric cancer, dyspeptic symptoms with poor curative effect after conventional treatment, reflux esophagitis patients who need long-term acid suppression treatment and patients who need to take non-steroidal anti-inflammatory and analgesic drugs for a long time. For infected people who do not meet these conditions, doctors will explain the advantages and disadvantages to patients in detail and make a choice. Cutting off the infection route of Helicobacter pylori is an effective method to prevent stomach diseases. If people often feel stomachache, bloating, stomach discomfort, belching and other symptoms, they should be tested by gastroscope and Helicobacter pylori as soon as possible. At present, there are many drugs that can effectively fight this pathogen. The Institute of Infectious Diseases of Hunan Medical University, the first medical research department of China, and Xiangya Hospital affiliated to Hunan Medical University conducted an experimental study on Hericium erinaceus gastrointestinal health oral liquid. The paper "Study on the Protective Effect of Hericium erinaceus on Cell Damage Caused by Helicobacter Pylori" further verified the exact efficacy of Hericium erinaceus oral liquid in anti-Helicobacter Pylori, deeply protecting the stomach wall and preventing the recurrence of gastric diseases. Sun God Hericium erinaceus gastrointestinal health oral liquid is inherited from the ancestors. ......

How is Helicobacter pylori treated?

Seeing western medicine, the doctor will systematically prescribe triple drugs for the treatment of Helicobacter pylori, and the effect is very good.