Whether it is necessary to treat Helicobacter pylori is one plus. Should Helicobacter pylori be treated? Can Helicobacter pylori Cause Cancer?

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Scientists have found that the bacterium Helicobacter pylori is the cause of many diseases, from gastritis to stomach cancer. However, Helicobacter disease provokes far from all people affected by it. And such, according to various sources, from 50% to 70% of the world's population. We will tell you in what cases you need to fight the Helicobacter bacterium.

Scientists have found that the bacterium Helicobacter pylori is the root cause of many diseases gastrointestinal tract: from gastritis to stomach cancer. However, Helicobacter disease provokes far from all people affected by it. And such, according to various sources, from 50% to 70% of the world's population.

The question arises: what to do with this "mine"? Treat until the bacterium has managed to cause a serious illness, or wait until pathological changes begin? Once again, nobody wants to poison the body with antibiotics.

In what cases is it necessary to fight the Helicobacter bacterium?

Gastroenterologists all over the world have already agreed that it is unreasonable to fight Helicobacter on the same scale as epidemiologists once fought against smallpox. To completely squeeze this bacterium out of the light, every second person will have to prescribe antibiotics.

As a result, as the medical community believes, "we will get a mountain of corpses from pseudomembranous colitis (acute inflammation of the colon associated with taking antibiotics), and we will not exterminate the harmful Helicobacter." After all, all bacteria have the ability to mutate, fighting for survival.

The controversy over whether to "treat or not treat", "to detect or not to detect" has been simmering for so long that the debate of the luminaries of medicine eventually took shape in the so-called Maastricht Consensus. These are the recommendations of doctors, developed at a council on the fight against bacteria.

The first medical meeting took place in the city of Maastricht, hence the name of the set of recommendations based on laboratory studies, which are regularly updated. To date, four consensus have been issued.

Conclusions of physicians, made in the light of the latest scientific knowledge about Helicobacter pylori:

• Treatment is required for duodenal or stomach ulcers.
• Antibiotic therapy is given to the immediate family of patients with stomach cancer.
• Eradication is recommended for atrophic gastritis. It is he who is considered a precancerous disease, and by no means a stomach ulcer.
• Treatment is needed if identified Iron-deficiency anemia... However, doctors will first need to find out whether the patient is losing iron or it is not absorbed due to bacteria.

Everything listed above applies to cases where the bacteria has already been identified. However, the doctors face one more question: is it necessary to look for Helicobacter from all people in a row? The answer most often given by gastroenterologists is more likely no than yes. Specialists also have a list of approximate candidates for analysis.

When to look for Helicobacter bacteria

1. Proton pump inhibitors, drugs that reduce the aggressiveness of gastric juice, do not help with stomach pain.
2. Along with fatigue, iron deficiency appears - the first sign of stomach cancer.
3. As part of the clinical examination, even if there are no complaints of pain in the upper abdomen, gastroscopy and biopsy can be done every 7 years in order to detect bacteria.
4. The patient is at risk: relatives suffered from stomach cancer.
5. During the study, gastric dysplasia, intestinal metaplasia, or atrophic gastritis were revealed.

Scheme of eradication (destruction) Helicobacter pylori

1. For 1-2 weeks the patient receives complex drug therapy: proton pump inhibitors, bismuth preparations, antibiotics. The doctor should also prescribe drugs that will make up for the deficiency of beneficial microorganisms in the stomach and intestines after taking antibiotics. Popular remedies: "De-Nol", amoxicillin ("Flemoxin"); clarithromycin; azithromycin; tetracycline; levofloxacin.
2. The patient re-tests. If the bacteria remains, after 5-6 weeks the doctor will again prescribe a course of treatment, but with different antibiotics.
3. If, after the second stage of treatment, the test for Helicobacter is again positive, the method of treatment is selected on an individual basis.

What foods should be excluded from the diet if Helicobacter bacteria are detected.

According to medical statistics, 50 to 70% of the world's population is infected with the pathogenic microorganism Helicobacter pylori. The bacterium does not always cause serious changes in the body, some of its carriers will never know that they are carriers of heliobacteriosis.

Should Helicobacter pylori be treated?

It is irrational to prescribe antibacterial treatment to every second person, although the consequences of infection with helicobacter pylori can lead to serious complications. First of all, it is gastritis and peptic ulcer that affects the stomach and duodenum. Untreated pathologies of the digestive system with reduced immunity are transformed into malignant formations, can cause bleeding, perforation of the stomach wall, sepsis and death.

When to start therapy for heliobacteriosis, what to take, how long the course of treatment lasts - all these questions will be answered by a qualified specialist of a medical institution.

Diagnostic minimum for suspected heliobacteriosis

The doctor prescribes a diagnostic examination to determine the amount of helicobacter pylori in the patient's body, how its presence affected the mucous membrane of the digestive tract, and also to find out which treatment to choose in a particular case. Methods for diagnosing heliobacteriosis are determined on an individual basis. Diagnostic examination can be carried out in both public and private laboratories.

To assess the condition of the gastric mucosa, the gastroenterologist will definitely prescribe an endoscopic examination:

FGS (fibrogastroscopy);

FGDS (fibrogastroesophagoduodenoscopy).

Gastric endoscopy reveals ulcers, edema, hyperemia, flattening of the gastric mucosa, swelling, and the production of a large amount of cloudy mucus. However, it does not confirm or deny the presence of helicobacter pylori. To do this, during an endoscopy of the stomach, a biopsy is performed - a collection of mucosal tissue for further research.

Diagnostic methods using biopsy:

Bacteriological culture. An extremely accurate method of detecting bacteria and determining its sensitivity to antibacterial agents is carried out by inoculating bacteria from tissues taken as a result of endoscopy on a special nutrient medium.

Phase contrast microscopy. Microscopic examination of an untreated biopsy specimen from the mucous membrane reveals large colonies of helicobacter pylori bacteria.

Histological examination. A biopsy of the mucous membrane is studied under a microscope; in the presence of Helicobacter, it is easy to detect. The study is considered the "gold standard" to clarify the prevalence of bacteria, so it is most often prescribed.

Immunohistochemical method. The enzyme-linked immunosorbent assay (ELISA), which makes it possible to clarify the presence of Helicobacter in the tissues of the mucous membrane taken during a biopsy, is very accurate, but requires high-tech equipment, therefore it is not available to all medical institutions.

Urease test. A gastric biopsy taken during endoscopy is immersed in a urea solution. Then, during the day, the dynamics of changes in the acidity of the solution is recorded. Changing its color to a raspberry color signals a helicobacter pylori infection. The more intense the staining, the higher the concentration of bacteria.

Polymerase color reaction (PCR). A very accurate method assesses the reaction of the immune system to the appearance of foreign microorganisms, their number directly on the biological material removed from the stomach.

Analysis for cytology. The low-sensitivity method consists in staining fingerprints taken from a biopsy and examining them at multiple magnifications.

If it is impossible to carry out endoscopy and biopsy of the gastric mucosa, the following tests are prescribed:

Urease breath test. Conducted during the initial examination and when assessing the effectiveness of the treatment. Air samples are taken from the patient, the level of ammonia and carbon dioxide is assessed in them. After breakfast and the introduction of labeled C13, C14 carbons into the body, air samples are again tested 4 times. With an increase in the concentration of labeled carbon in them, the test result is considered positive.

Enzyme-linked immunosorbent assay (ELISA) for the presence of helicobacter pylori in human biological fluids (blood, saliva, gastric juice). The method is used only once in those who contracted the infection for the first time, since antibodies to bacteria persist for several years, it is not used to assess the effectiveness of treatment.

Stool analysis by polymerase chain reaction (PCR). The exact method of determining the presence of bacteria requires high laboratory equipment and is rarely used.

Most often, it is enough to conduct one analysis, focusing on the capabilities of the medical institution.

Indications and basic principles of therapy

With the discovery of the main cause of gastritis and ulcers of the stomach and small intestine, caused by the introduction of Helicobacter pylori into the body, a new stage in the treatment of heliobacteriosis began. It is based on eradication therapy - treatment of bacteria through the complex administration of drug combinations:

Antibacterial agents;

Medicines that reduce the acidity of gastric juice.

Drugs to reduce the secretion of gastric juice deprive the bacteria of their habitual habitat.

Indications for the use of antibiotic therapy regimens

Not all carriers of helicobacter pylori are sick with heliobacteriosis, so at the first stage it is important to consult with a gastroenterologist and related specialists on how to treat the bacterium.

There are standards developed by the global gastroenterological community on important indications for the use of eradication therapy:

Atrophic gastritis (precancer);

Malt, lymphoma;

Stomach and duodenal ulcer;

Condition after removal of a malignant tumor of the stomach;

The presence of stomach cancer in relatives of the immediate environment.

Functional dyspepsia;

Reflux - esophagitis (reflux of stomach contents into the esophagus);

Treatment of pathologies using NSAIDs.

How to reliably and comfortably cure heliobacteriosis?

Standard parameters of eradication therapy for the present stage development of gastroenterology:

The effectiveness of treatment is not less than 80% of cases of Helicobacter infection.

A high level of safety, since for practical use, schemes that have more than 15% of the total number of patients with cases with side effects of drugs are not used.

The maximum duration of treatment. How much heliobacteriosis is treated: there are courses for 7, 10 or 14 days.

Reducing the frequency of drug intake due to the use of prolonged-release agents.

Possibility of easy interchangeability of a drug that did not fit according to some parameters within the scheme.

Effective methods of treatment for Helicobacter pylori

Over the course of three decades, several effective schemes have been created that determine how to cure heliobacteriosis. In 2005, the Netherlands hosted the World Gastroenterology Congress, which developed protocols for the treatment of infection. The therapy consists of three lines, or stages. If the first line is ineffective, the second line is assigned. If it does not give a positive effect, third-line drugs are used.

First line of eradication therapy

The first-line regimen contains three drugs: the antibacterial agents Clarithromycin, Amoxicillin, and the proton pump inhibitor Omeprazole or its derivatives. Omeprazole is intended to regulate gastric acidity. The drug successfully relieves the symptoms of gastritis and ulcers, helps not to adhere to strict dietary restrictions, although treatment still requires dietary adjustments. Amoxicillin, if necessary, is replaced with Metronidazole or Nifuratel.

In some cases, the gastroenterologist adds bismuth preparations to the scheme, which have the following actions:

• Gastroprotective;

  Anti-inflammatory.

Although most often bismuth preparations are included in the second line of eradication therapy, they also show their positive qualities in the first line: they form a film on the surface of the gastric mucosa that resists pain and inflammation.

What is the treatment for heliobacteriosis in elderly patients on the first line - a softer scheme:

One antibiotic (Amoxicillin);

Bismuth preparations;

Proton pump inhibitors.

The first line course lasts for a week, less often - no more than 2 weeks. In the overwhelming majority of cases (95%) this is enough, and there is no need to go to the second line. If this scheme is ineffective, proceed to the next stage.

Second line of eradication therapy

At the second stage, a four-component therapy regimen is applied, which includes:

Two antibiotics containing the active ingredient Tetracycline and Metronidazole;

Bismuth preparation;

Proton pump inhibitor.

Antibacterial drugs should not be used in the first treatment regimen, since helicobacter pylori has already developed resistance to them.

What to take as an alternative - the second option:

2 antibiotics - active ingredient Amoxicillin and Nitrofuran;

Bismuth preparation (tripotassium dicitrate);

Proton pump inhibitor.

Bismuth preparations act as a cytoprotector, protect the mucous membrane, increase its resistance, and serve to prevent relapse. The protective properties of bismuth preparations may decrease with the use of milk, juices, fruits.

The second line course lasts 10-14 days.

Third line of eradication therapy

If the second treatment regimen for heliobacteriosis is ineffective, third-line drugs are used. Before prescribing drugs, the doctor prescribes an endoscopy with a biopsy and a bacteriological culture of a biopsy for its sensitivity to antibiotics. Based on its results, a third treatment regimen is prescribed.

What to take on the third line of therapy:

The two most effective antibacterial drugs not previously used;

Bismuth preparations;

Proton pump inhibitors.

Bismuth tripotassium dicitrate relieves the manifestations of dyspepsia (bloating, heartburn, stomach pain), stimulates the regeneration of the mucous membrane, and exhibits bactericidal properties against Helicobacter pylori.

To maintain normal intestinal microflora, the doctor may recommend taking probiotics, for the prevention of relapses - the use of gastroprotectors.

Antibiotics - # 1 remedies for the treatment of helicobacter pylori

First-line antibiotics: Clarithromycin, Amoxicillin (Flemoxin)

According to studies carried out in the 80s of the last century in order to study the sensitivity of helicobacter pylori to antibacterial drugs, in sterile laboratory conditions they are sensitive to the effects of 21 drugs from this pharmacological group.

But in practice, it turned out that some of the drugs are powerless against bacteria due to the aggressive effects of the acidic environment of gastric juice. In addition, not all antibiotics can penetrate deep into the tissues of the mucous membrane of the stomach and intestines, where the helicobacter colonies are located.

Only a few antibacterial drugs have been carefully selected:

Amoxicillin (Flemoxin),

Azithromycin,

Amoxicillin (Flemoxin)

This broad-spectrum antibacterial agent is included in both the first and second line of eradication therapy for heliobacteriosis. Amoxicillin (Flemoxin) is an antibiotic from the group of semi-synthetic penicillins. Its peculiarity is that the drug destroys only dividing pathogenic microorganisms, therefore it is not prescribed simultaneously with bacteriostatics that suppress the division of microorganisms.

Contraindications to the use of penicillin antibiotics, including Amoxicillin, have a small range.

Absolute and relative contraindications:

hypersensitivity to penicillins;

Infectious mononucleosis;

tendency to leukemoid reactions;

with caution: pregnancy, renal failure, history of colitis.

Amoxiclav - antibacterial agent against resistant strains of helicobacter pylori

This is a combined antibiotic, which is a synthesis of two drugs: amoxicillin and clavulanic acid, which increases its effectiveness against bacteria resistant to the action of penicillins. Many strains of pathogenic bacteria have developed resistance to the long-used penicillin and "learned" to destroy its molecules with their enzymes -? -Lactamases.

Clavulanic acid is a β-lactam that binds β-lactamase, while Amoxicillin destroys helicobacter pylori. Contraindications are similar to those for taking Amoxicillin, in addition - severe dysbiosis.

Clarithromycin (Klacid) - antibacterial agent

This drug from the group of erythromycins (macrolides) is often used when prescribing a first-line eradication therapy regimen. It exhibits a minimum of toxic effect. Side effects were recorded in only 2% of patients.

Side effects:

• nausea and vomiting,

  rarely: gingivitis and stomatitis,

  very rare: stagnation of bile.

Clarithromycin is a very effective drug, helicobacter pylori rarely show resistance to it. It easily interacts with proton pump inhibitors, which mutually reinforce each other.

Contraindications:

hypersensitivity to drugs from the macrolide group.

Use with caution in the following conditions:

Pregnancy (1 trimester);

Childhood(up to 6 months);

Hepatic, renal failure.

Azithromycin - an antibacterial drug as a replacement for Helicobacter pylori

This is a third generation antibiotic from the macrolide group, prescribed as an alternative for severe side effects of Clarithromycin (diarrhea and others). Quantity side effects only 0.7%, the drug is taken only once a day. Its concentration helps to realize a directed action against helicobacter pylori in the patient's stomach.

Tetracycline is the drug of choice for the second line of eradication therapy

This antibiotic has a wide spectrum of action, but has increased toxicity, which is manifested in the absence of selectivity not only against helicobacter pylori and other pathogenic bacteria, but also against its own macroorganism.

Negative action of tetracycline:

Violates spermatogenesis;

Causes anemia, thrombocytopenia, leukopenia, inhibiting hematopoiesis;

Violates the division of epithelial cells;

Provokes the formation of ulcers and erosions in the stomach, skin dermatitis;

Violates protein synthesis;

Has a toxic effect on the liver;

It causes neurological disorders in children, inhibits the growth of bones and teeth.

The antibiotic is not prescribed for children under 8 years old, pregnant women, patients with leukopenia. Tetracycline is prescribed with caution for peptic ulcer, hepatic and renal failure.

Levofloxacin - a drug from the group of fluoroquinolones

This broad-spectrum antibiotic belongs to the fluoroquinolone group and is used in second or third line regimens. This is due to its increased toxicity.

The negative effect of Levofloxacin:

Inhibits the growth of bone and cartilage tissue in adolescents under 18 years of age.

Contraindications:

Pregnancy;

Individual intolerance to fluoroquinolones;

History of epilepsy.

There are reviews from practicing doctors about the resistance of helicobacter pylori to Levofloxacin, so the drug is not always effective.

Helicobacter pylori chemotherapy with antibacterial drugs

Metronidazole for heliobacteriosis

This bactericidal drug belongs to the group of nitroimidazoles and is used for chemotherapy of infections. Its action is based on the destruction of the genetic material of pathogenic cells by the penetration of toxic metabolites of Metronidazole into it.

This is the first remedy that managed to get rid of heliobacteriosis. Metronidazole in combination with bismuth preparations was used for his treatment by Barry Marshall, the discoverer of helicobacter pylori, who drank a culture of bacteria and thereby caused gastritis.

With a short course of treatment, the drug does not show toxic properties. It is not prescribed for women in the first trimester of pregnancy, for individuals with individual intolerance.

Possible side effects:

Allergic dermatitis;

Metallic taste in the mouth;

Nausea and vomiting;

Urine staining red-brown;

Severe reactions when combined with alcohol.

Resistance of helicobacter pylori to Metronidazole in recent times rises, reaching 60% of the total number of patients.

Macmiror (Nifuratel) with heliobacteriosis

An antibacterial drug from the nitrofuran group has a bacteriostatic and bactericidal effect. Macmiror prevents bacteria from multiplying by binding nucleic acids and inhibits biochemical processes in its cells.

With short-term use, it does not have a toxic effect, it is not prescribed for individual intolerance. Use with caution in pregnant women, as the drug crosses the placenta. When breastfeeding and the simultaneous use of McMirora, there is a high risk of getting the drug into milk, therefore, breastfeeding should be temporarily abandoned.

Possible side effects:

Allergy;

Gastralgia;

Nausea and vomiting;

The drug is used in second and third line regimens, it is more effective than Metronidazole, helicobacter pylori has not yet developed resistance to it. Since McMiror has shown minimal toxicity in 4-component regimens in children, it is recommended to be prescribed in first-line regimens in children and adults as a substitute for Metronidazole.

Bismuth preparations (De-Nol)

Tripotassium citrate (colloidal bismuth subcitrate) is the active ingredient of the antiulcer drug De-Nol. This drug was used earlier, even before it was included in the eradication therapy regimen. De-Nol's action is based on the creation of a protective film on the walls of the stomach and duodenum, which prevents acidic gastric juice from reaching the damaged areas.

In addition, De-Nol stimulates the accumulation of epidermal regeneration enzymes in the tissues of the mucous membrane, increases the production of protective mucus, which reduces the aggressive effect of gastric juice. This causes epithelialization of erosions and scarring of ulcers.

Studies conducted in the framework of the treatment of helicobacter pylori have found that De-Nol and other bismuth preparations inhibit its growth, transforming the bacterial habitat and acting on it as a bacteriostatic. Thanks to this effect, the bacterium quickly leaves the patient's body.

De-Nol has an advantage over other bismuth preparations - it penetrates deep into the mucous membrane, where there is the highest concentration of pathogenic bacteria. Bismuth destroys the membranes of microbial bodies, accumulates inside cells.

Short courses of drug therapy do not harm the human body, since De-Nol does not penetrate into the circulatory system, it is excreted by the digestive and urinary systems.

Contraindications:

Pregnancy and lactation;

Severe renal failure.

Bismuth preparations penetrate the placental barrier and into breast milk. In case of impaired renal excretory function, bismuth is able to accumulate in the body.

Proton pump inhibitors: Omez, Pariet

Drugs of this group (PPI, proton pump inhibitors) are necessarily included in the first and second line eradication therapy regimen. The mechanism of action of the proton pump is based on blocking the lining cells of the stomach. They actively produce aggressive hydrochloric acid and proteolytic enzymes that dissolve protein.

Omez, Pariet reduce the secretion of gastric juice, which negatively affects bacteria, stimulating its eradication. In addition, a decrease in the acidity of the juice stimulates the speedy regeneration of erosions and ulcers, increases the effectiveness of antibacterial drugs.

To increase the acid resistance of proton pump inhibitors, they are released in protective capsules that cannot be chewed, they will dissolve in the intestines. In the same place, PPI is absorbed into the circulatory system, and from the blood the inhibitors penetrate into the parietal cells, where they retain their properties for a long time.

Side effects due to the selective action of PPIs are very rare. They manifest themselves as follows:

Dizziness;

Headache;

PPIs are not prescribed for pregnant and lactating women, children under 12 years of age, although Pariet has been successfully used to treat children.

Possible complications from antibiotic treatment

Factors that increase the risk of side effects during eradication therapy:

Individual intolerance to drugs;

The presence of somatic pathologies;

The negative state of the intestinal microflora in the initial period of treatment.

Complications of eradication therapy - side effects:

Allergic reaction on the components of drugs, disappearing after cancellation;

Dyspeptic symptoms of the gastrointestinal tract (discomfort in the stomach and intestines, taste of bitterness and metal, nausea and vomiting, diarrhea, flatulence). Usually, all these phenomena spontaneously disappear after a short time. In rare cases (5-8%), the doctor prescribes drugs for vomiting or diarrhea, or cancels the course.

Dysbacteriosis. It is more often manifested in patients who previously had gastrointestinal dysfunction, develops during treatment with drugs of the tetracycline series or during therapy with macrolides. A short-term course is not capable of disrupting the balance of intestinal microflora; for the prevention of dysbiosis, you need to more often use fermented milk products: yogurt, kefir.

How to get rid of helicobacter pylori without including antibiotics in the eradication regimen?

There is such an opportunity - you can not use eradication therapy in the following cases:

Minimum concentration of helicobacter pylori;

There are no clinical signs of pathologies associated with heliobacteriosis: stomach and intestinal ulcers, atopic dermatitis, type b gastritis, anemia.

For asymptomatic carriers of Helicobacter pylori, a lightweight treatment option is being developed that does not pose a serious burden. It includes drugs to strengthen the immune system and normalize the microflora of the gastrointestinal tract.

Bioadditive Bactistatin

Bactistatin helps to normalize the balance of gastrointestinal microflora, activates the immune response, improves the functioning of the digestive system, intestinal motility. The course of treatment with Baktistatin is designed for 2-3 weeks.

Contraindications:

Individual intolerance;

Pregnancy;

Lactation.

Use of homeopathic medicines

Homeopathy considers heliobacteriosis to be a disease of the whole organism, not an infection. Homeopathic doctors believe that the restoration of the gastrointestinal tract, disturbed by the bacteria, will occur as a result of a general improvement in the body. If homeopathic medicines are prescribed according to indications, mainstream medicine does not oppose this, leaving the choice to the patient.

There are two points of view on the need for treatment of helicobacter pylori. Some doctors are convinced that it is imperative to get rid of the bacteria so that it does not provoke the development of gastrointestinal diseases, allergies, atherosclerosis, and autoimmune pathologies. According to another point of view, Helicobacter pylori will not harm a healthy person, coexisting with it for decades.

Which doctor treats heliobacteriosis?

If pain and other negative symptoms appear in the stomach, as well as when diagnosing bacteria, you need to contact. If children have similar problems, you should consult a pediatric gastroenterologist. In the absence of these specialists, you need to contact a therapist, when treating children - to a pediatrician.

Education: in 2008 he received a diploma in the specialty "General Medicine (General Medicine)" at the Russian Research Medical University named after NI Pirogov. Immediately passed an internship and received a diploma of a therapist.

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Table of contents

1. The main signs of Helicobacter pyloriosis: Helicobacter-associated gastritis and gastroduodenitis
2. Symptoms of Helicobacter-associated gastritis and gastroduodenitis
3. Pyloric H. pylori and erosion of the stomach and duodenum
4. Why Helicobacter pylori causes stomach ulcers, and how to treat it - video
5. The importance of the bacteria Helicobacter pylori in the development of stomach cancer. Signs of malignant transformation in chronic atrophic gastritis and gastric ulcer
6. Dysbiosis (dysbiosis) and irritable bowel syndrome
7. Helicobacter pylori and skin allergies. Symptoms of Helicobacter-associated atopic dermatitis
8. There are no acne, but I myself notice the smell from the mouth. At the same time, there are no carious teeth. Will Helicobacter eradication help me?
9. Does Helicobacter pylori infection show symptoms such as fever and cough?
10. Do I need to be treated for H. pylori if I am planning a pregnancy?
11. Why is Helicobacter pylori dangerous? Possible consequences of Helicobacter pylori

The site provides background information for information only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. A specialist consultation is required!

The main signs of Helicobacter pyloriosis: Helicobacter-associated gastritis and gastroduodenitis

After the discovery of existence Helicobacter pylori medicine was enriched with knowledge about new diseases: Helicobacter-associated gastritis and gastroduodenitis.

Helicobacter-associated gastritis is also called gastritis B(from the first letter in the Latin word "bacterium") and accounts for about 80% of cases of chronic gastritis. This disease has a number of characteristic features, such as:
1. Normal or (more often) increased secretion of gastric juice.
2. Superficial changes in the epithelium with a tendency to form erosion.
3. The defeat of the predominantly antrum (end section).

It should be noted that with a long course of Helicobacter-associated gastritis, the process spreads from the antrum to the entire surface of the stomach, and superficial changes in the mucous membrane are replaced by deep ones.

In this case, atrophy of the glands that produce hydrochloric acid and proteolytic enzymes occurs in the stomach, and the gastric epithelium is replaced by the intestinal epithelium (intestinal metaplasia). As a result, the secretion of gastric juice decreases, and the acidity decreases.

At this stage, as a rule, Helicobacter pylori is no longer determined, since the habitat becomes unsuitable for it.

Often, Helicobacter pylori simultaneously populates the antrum of the stomach and the duodenum, leading to their joint inflammation - gastroduodenitis.

Symptoms of Helicobacter-associated gastritis and gastroduodenitis

For initial and extended stage Helicobacter-associated gastritis is characterized by symptoms of inflammation of the gastric mucosa, occurring with increased or (less often) normal acidity, namely:

• heartburn, sour belching;
• normal or increased appetite;
• pain in the epigastrium (under the spoon), appearing one and a half to two hours after eating;
• a tendency to constipation.

For last stage Helicobacter-associated gastritis is characterized by signs of atrophy of the gastric mucosa, such as:

• feeling of heaviness in the epigastrium after eating (indigestion);
• dull pain in the stomach (under the spoon and in the left hypochondrium);
• a tendency to diarrhea, which is associated with a decrease in the barrier function of hydrochloric acid;
• dry and metallic taste in the mouth;
• belching with air, eaten food, often rotten;
• weight loss;
• the appearance of cracks in the corners of the mouth ("seizures").

In cases where Helicobacter pylori spreads to the duodenum , the symptoms of chronic gastritis are complemented by signs of duodenitis, such as:

• belching of bile or the appearance of bitterness in the mouth;
• nausea and vomiting;
• pain in the right hypochondrium (with the spread of the inflammatory process to the distal duodenum).

Pyloric H. pylori and erosion of the stomach and duodenum

Helicobacter pylori-associated gastritis and gastroduodenitis are quite often combined with the formation of erosions in the gastroduodenal zone. Such a development of events is facilitated by such factors as:

• psychoemotional overstrain (adaptation disease is often accompanied by the formation of erosions in the stomach and duodenum);
• inaccuracies in diet (coarse, spicy, hot food and alcohol);
• abuse of coffee, smoking;
• taking certain medications (salicylates, glucocorticoids, reserpine, digitalis, etc.);
• diseases of the organs of the hepatoduodenal zone (liver, pancreas, gallbladder);
• diabetes mellitus (severe forms).

Unlike ulcers, erosion during healing is completely epithelialized, leaving no scar or deforming the surface of the mucous membrane. However, many of their symptoms resemble those of gastric and duodenal ulcers:

• local soreness in the epigastric region (in the projection of the resulting erosion);
• severe pain syndrome that occurs 1-1.5 hours after eating;
• heartburn, sour belching;
• nausea, vomiting.

Studies have shown that approximately 20% of patients with Helicobacter pylori-induced erosions of the stomach and duodenum have gastric bleeding, manifested by vomiting with blood or vomiting in the form of "coffee grounds", as well as mushy black stools (melena).

However, hidden bleeding is even more common, which leads to the development of anemia and the gradual exhaustion of the patient. The situation is aggravated by the fact that many patients are afraid to eat due to severe pain syndrome and lose a lot of weight.

Helicobacter pylori stick and stomach ulcer. The main signs of pathology

Today, the fundamental role of Helicobacter pylori in the development of gastric ulcer and duodenal ulcer is considered fully proven. However, genetic factors are also of great importance.

So, a hereditary predisposition is detected in 30-40% of patients with stomach ulcers. In such cases, the disease is much more severe (frequent exacerbations, often accompanied by bleeding, a high likelihood of complications, etc.).

TO genetically determined risk factors also include:

• male sex (the ratio of men and women among "ulcers" is 4: 1);
• the first blood group (increases the likelihood of an ulcer by 35%);
• the ability to taste phenylthiocarbamide;
• characteristic fingerprint picture.

In addition, factors predisposing to the occurrence of erosions contribute to the development of gastric and duodenal ulcers associated with Helicobacter pylori. Caffeine and nicotine play an important role in the formation of ulcers. These substances prevent the epithelialization of erosions and cause the rapid progression of peptic ulcer disease (of course, their popular combination is especially dangerous - coffee with a cigarette on an empty stomach).

Typical sign Peptic ulcer of the stomach and duodenum associated with Helicobacter pylori is a characteristic pain syndrome:
1. Pain clearly localized in the projection of the ulcer (with a stomach ulcer under the spoon along the midline, with a duodenal ulcer - under the spoon on the right).
2. Hunger pains that appear 6-7 hours after eating and disappear after eating or a glass of warm milk (a symptom that is characteristic exclusively of peptic ulcer disease).
3. Night pains.

Another very characteristic symptom of peptic ulcer disease is the recurrence of exacerbations of the disease. Relapses more often occur in the autumn-winter period. In addition, with a long course of the disease, patients note a kind of cyclic recurrence of exacerbations with especially severe symptoms: once every four to five years (small cycles) and once every seven to ten years (large cycles).

And, finally, a whole complex is characteristic of Helicobacter pylori-associated gastric and duodenal ulcers. additional symptoms, which in themselves are nonspecific, but in their combination, they make it possible to suspect the presence of this pathology:

• heartburn, sour belching (more common with gastric ulcer);
• nausea and relieving vomiting (associated with increased secretion of gastric juice, manifested during periods of exacerbation);
• appetite is normal or slightly increased, but patients are often afraid to eat due to severe pain syndrome;
• constipation;
• complaints of chilliness of the limbs;
• cold wet palms;
• tendency to arterial hypotension (low blood pressure) and bradycardia (decreased heart rate).

Helicobacter-associated stomach or duodenal ulcer is dangerous for the development of the following complications:

• gastrointestinal bleeding;
• perforation of the ulcer with the development of diffuse peritonitis;
• penetration (germination of ulcers) into adjacent organs and tissues;
• cancerous degeneration of the ulcer;
• development of diseases of other organs of the gastrointestinal tract (chronic pancreatitis, cholecystitis, enterocolitis);
• general exhaustion of the patient.

Why Helicobacter pylori causes stomach ulcers, and how to treat it - video

The importance of the bacterium Helicobacter pylori in the development of a disease such as stomach cancer. Signs of malignant transformation in chronic atrophic gastritis and gastric ulcer

Bacterium Helicobacter pylori causes chronic gastritis B, which, with a long course, leads to atrophy of the gastric mucosa and the appearance of foci of intestinal metaplasia (areas of the mucous membrane covered with epithelial cells characteristic of the intestine).

This condition is regarded by modern medicine as precancerous. The fact is that any metaplasia (change in the existing type of cells) is dangerous in relation to malignant transformation. In addition, with atrophic gastritis, the secretion of gastric juice is sharply reduced, many components of which (pepsin, antianemic factor, etc.) prevent the development of various kinds of neoplasms.

According to statistics, stomach cancer in 50% of cases develops against the background of atrophic gastritis, and in 46% - as a result of the degeneration of a stomach ulcer. Helicobacter pylori-associated ulcers are also prone to cancerous transformation, especially with a long course of the disease.

In this case, a malignant tumor can develop both against the background of an existing ulcer, and after its radical healing (the occurrence of cancer in the area of ​​the scar or on the inner surface of the stump of the removed stomach).

A typical sign of the development of a malignant tumor against the background of chronic atrophic gastritis or ulcers is the modification of the pain syndrome. The pains lose their characteristic connection with food intake and become permanent.

In addition, patients complain of nausea, decreased appetite, and become more picky about cooked meals. However, in cases where cancer develops against the background of atrophic gastritis, these symptoms may go unnoticed. In such cases, doctors pay attention to the so-called small signs syndrome, such as:

• general weakness, a sharp decrease in working capacity;
• loss of interest in the surrounding reality;
• aversion to certain types of food, mainly fish and meat;
• earthy pallor of the face combined with yellowness of the sclera;
• increased irritability;

Helicobacter pylori intestinal: dysbiosis disease (dysbiosis) and irritable bowel syndrome

The discovery of Helicobacter pyloriosis prompted a search for the relationship between Helicobacter pylori-associated diseases (gastritis B, gastroduodenitis, gastric ulcer and duodenal ulcer) and such functional disorders of the small and large intestine as irritable bowel syndrome.

It turned out that with chronic gastroduodenitis associated with Helicobacter pylori, 80-100% of patients develop intestinal dysbiosis, and patients with Helicobacter-associated ulcer are characterized by almost one hundred percent prevalence of intestinal dysbiosis.

At the same time, researchers note a correlation between the population of Helicobacter pyloric section of the stomach and duodenum and the severity of dysbiosis in other sections of the digestive tract, including the final section of the large intestine.

Dysbacteriosis is one of the most important factors in the development of such a fairly common pathology as irritable bowel syndrome (IBS). It is believed that for this reason, among patients with IBS, there are significantly more carriers of Helicobacter pylori than healthy individuals.

In addition, Helicobacter pylori directly interferes with the motility of the gastrointestinal tract, producing special toxins and disrupting the synthesis of hormones that regulate the motor activity of the digestive tube. So even in the absence of Helicobacter-associated diseases, Helicobacter pylori infection can manifest itself with symptoms of irritable bowel, such as:

• pain or discomfort in the intestines, relieved by a bowel movement and / and passing gas;
• violation of stool frequency (more often three times a day or less often three times a week);
• pathological changes in the consistency of feces (hard "sheep" or mushy, watery stools);
• empty urge, feeling of incomplete emptying of the intestines.

Irritable bowel syndrome, including when it is associated with H. pylori, is a functional disorder. Therefore, the appearance of signs of a violation of the general condition of the body (increased body temperature, malaise, muscle aches, etc.) and / or the presence of pathological inclusions such as blood or pus in the feces, indicate an infectious disease (dysentery) or serious organic damage to the intestine. (cancer, ulcerative colitis, etc.).

Helicobacter pylori and skin allergies. Symptoms of Helicobacter-associated atopic dermatitis

To date, the relationship between the bacterium Helicobacter pylori and the development of atopic dermatitis has been proven, which is a chronic allergic skin disease characterized by the periodic appearance of specific rashes on the face, neck, upper body, on the flexion surfaces of the elbow and knee joints, on the dorsum of the feet and palms. and in severe cases, throughout the body.

As a rule, rashes are polymorphic in nature - that is, they consist of various elements - erythematous spots (areas of redness), protruding swellings that resemble a nettle burn, and vesicles. With a mild course, the same type of rash in the form of urticaria can be observed.

Characteristic feature atopic dermatitis is itching that can vary in intensity (from mild to unbearable). Itching worsens at night, and scratching the affected area usually provides short-term relief. However, in the areas of scratching, inflammatory thickening of the skin rapidly develops, and with the addition of a secondary infection, long-term healing purulent abrasions occur.

As a rule, atopic dermatitis occurs at a very young age (up to two years) and is known to everyone as exudative diathesis. The very name of the disease (diathesis in translation means "addiction") indicates a pathology with a genetic predisposition.

Nevertheless, the vast majority of babies safely "outgrow" this pathology and forever say goodbye to the manifestations of skin allergies, while some patients are forced to struggle with atopic dermatitis all their lives unsuccessfully.

Clinical studies have shown that the eradication of H. pylori in patients with atopic dermatitis in most cases leads to the disappearance of the rash. This was further evidence of the existence of Helicobacter-associated atopic dermatitis.

The progression of atopic dermatitis in helicobacteriosis is associated with the following features of this infection:
1. Helicobacter pylori disrupts the protective function of the gastric mucosa, so that many substances are absorbed that normally did not enter the blood from the stomach directly (we can say that due to Helicobacter pylori, the digestive tube returns to the period of infantile functional imperfection);
2. The prolonged presence of Helicobacter pylori in the stomach triggers a complex mechanism of immune-inflammatory reactions that contribute to the occurrence of allergic diseases, including atopic dermatitis;
3. There is a hypothesis about the production of a specialized anti-Helicobacterone immunoglobulin, which is involved in the development of allergic inflammation in atopic dermatitis.

Helicobacter pylori and rosacea (acne on the face)

H. pylori infection was detected in 84% of patients with rosacea (rosacea). It is a skin disease characterized by the appearance of acne on the face, localized advantage in the area of ​​the skin of the cheeks, nose, forehead and chin.

This kind of rash appears more often after 40 years, mainly in women. The disease has a chronic course. Sometimes the conjunctiva and the cornea of ​​the eyes (the membrane that covers the iris and pupil) are affected, and symptoms such as photophobia, painful eyelid spasm, and lacrimation develop.

It has long been noticed that acne on the face in adulthood appears more often in patients with diseases of the gastrointestinal tract. However, there are still conflicting data on the relationship between Helicobacter pylori and rosacea.

Many clinical studies have confirmed the disappearance of acne on the face in most patients after complete eradication of H. pylori from the body.

Symptoms of Helicobacter pylori: acne on the face (photo)

I read that Helicobacter pylori is such a terrible bacterium that poisons a person's life: it causes symptoms such as acne on the face and bad breath. I am thinking of buying a breath test for Helicobacter: there are no acne, but I myself notice the smell from my mouth. At the same time, there are no carious teeth. Will Helicobacter eradication help me?

Today it has already been proven that Helicobacter pyloriosis can cause bad breath. Moreover, there are several mechanisms for the appearance of this symptom.

Helicobacter in the process of its vital activity releases substances that form a foul-smelling ammonia, which is necessary to protect the microorganism from the effects of the acidic environment of the stomach and immune cells.

In addition, Helicobacter disrupts the motility of the gastrointestinal tract, contributing to the appearance of belching with air and stomach contents. The development of concomitant dysbiosis in the digestive tract is also of some importance.

So the eradication of Helicobacter pylori will definitely help to eliminate bad smell from mouth. However, as many clinical studies have shown, not all patients completely got rid of this unpleasant symptom after the cure of Helicobacter pylori.

The fact is that bad breath can cause many diseases. We would advise you to consult your dentist again, as the odor can be associated not only with dental diseases, but also with gum pathology.

Among the causes of bad breath, diseases of the ENT organs, such as chronic tonsillitis, chronic pharyngitis, chronic sinusitis, etc., occupy the second place in frequency after dental pathology. Therefore, it is also advisable to consult an otorhinolaryngologist.

Does Helicobacter pylori infection show symptoms such as fever and cough?

As a rule, infection with Helicobacter pylori passes unnoticed by the body. In experiments on infection with Helicobacter pylori (the first such experiment was conducted by Marshall - the researcher who first described the bacterium Helicobacter pylori) about a week after infection (the so-called incubation period) some patients experienced mild malaise, abdominal pain of unclear localization, upset stool (infrequent diarrhea), which self-liquidated without treatment.

An increase in body temperature may indicate complications, such as, for example, penetration (germination) of an ulcer into other organs or perforation of an ulcer with the development of peritonitis. However, in such cases, in addition to high temperature, there are other signs of a severe pathological process in the body.

So if, against the background of the existence of Helicobacteriosis, your temperature rises and a cough appears, then we are most likely talking about the development of some independent disease (ARVI, acute bronchitis, etc.).

Helicobacter pylori and hair loss - what does modern medicine say about the relationship between these pathologies?

The point is that hair loss can be caused by various reasons. With a long course of Helicobacter-associated diseases, such as chronic gastritis, stomach and duodenal ulcers, vitamin deficiency and general depletion of the body often develop, which leads to damage to the hair - they become dull, brittle and rare.

In addition, modern medicine has established a clear relationship between the carriage of Helicobacter pylori and a specific disease that leads to hair loss. This is alopecia areata (literally: alopecia areata) - a pathology characterized by damage to the hair follicles due to an immune response.

As shown Scientific research, among patients with alopecia areata, there are much more carriers of H. pylori than in the general population. The likelihood of developing Helicobacter-associated alopecia areata in women and young people (up to 29 years old) is especially high.

Scientists suggest that the main mechanism of hair damage in this pathology is cross-immune reactions activated by the presence of Helicobacter pylori.

Do I need to be treated for H. pylori if I am planning a pregnancy?

Like any chronic infection, Helicobacter pylori negatively affects the course

Scientists have long established that Helicobacter pylori is a bacterium that has caused many problems and diseases of the gastrointestinal tract, from gastritis to stomach cancer. Nevertheless, statistics give a different figure - Helicobacter Pylori is in the body of every person, but provokes the disease only in half of the cases. The question naturally arises - is it necessary to treat Helicobacter pylori or leave this delayed-action mine alone, in which cases it will be appropriate and in which not?

When is it worth fighting bacteria?

In the question itself - whether it is necessary to treat Helicobacter pylori, the opinion of doctors is unambiguously divided and depends on many factors and moments. The debates themselves were heated and long, but in the end, the doctors came to a unanimous consensus and reduced their decisions on the issue of combating bacteria to the following postulates:

• Helicobacter to treat or not- with ulcers of the duodenum, as well as the stomach, treatment is mandatory;
• antibiotic therapy course shown to all immediate family members of a patient diagnosed with stomach cancer;
• eradication indicated by doctors when diagnosing an atrophic form of gastritis - it is this type of pathology that is a precancerous condition, but not a stomach ulcer;
• treatment should be completed if there is a lack of iron in the body and the development of anemia- the main thing here is to diagnose the root cause, when the patient simply loses iron or it is not absorbed from the products due to the negative action of the bacteria.

All the situations described above refer to those cases when Helicobacter pylori has already been diagnosed. But in this case, a natural question arises - is it worth looking for this bacterium in the stomachs of all patients complaining of certain ailments?

When is it worth looking for Helicobacter pylori?

In this matter, doctors state the following:

1. For pain in the gastrointestinal tract, proton pump inhibitors do not save- this is the group of medicines that allows you to reduce the level of aggressiveness of gastric juice;
2. When diagnosing symptoms such as a drop in iron levels in the body and fatigue are the first signs that indicate the development of cancer;
3. As part of a routine examination and hospitalization- the examination is carried out for the detection of bacteria and even when there are no bouts of pain in the abdomen. In this case, it is recommended to do a biopsy and gastroscopy every 5-7 years;
4. A patient is a candidate at a risk group when his close relatives are sick or have previously had stomach cancer;
5. The examination revealed gastrointestinal dysplasia, as well as intestinal metaplasia or an atrophic form of gastritis.

Is Helicobacter pylori treatment beneficial?

In this regard, doctors give an answer taking into account several points and factors.

If the patient is diagnosed with an ulcer.

Until the recent discovery of this bacterium, which, according to most scientists, is the main provocateur of the development of problems with the gastrointestinal tract, it was the increased acidity of gastric juice that was considered the main root cause of the development of ulcers. Previously, doctors used drugs that lower the level of acidity, but now it is known that it is worth fighting primarily with pathogenic microflora.

If there is no ulcer.

Whether it is necessary to treat H. pylori if there is no ulcer is a good question often asked by patients. 1 patient out of 10 who has been diagnosed with dyspepsia, Helicobacter pylori bacteria, but who do not have an ulcer, will feel much better as a result of treatment from a pathogenic bacterium. Many doctors are inclined to believe that this will not only improve the patient's condition, but also serve as a kind of prevention of gastrointestinal problems caused by bacteria.

When diagnosing problems with the gastrointestinal tract, but it is not known whether there is an ulcer - it all depends on the situation. Today, when diagnosing symptoms such as weight loss and bouts of vomiting, problems with swallowing, it is worth being examined with an endoscope. If there are no such negative symptoms, the doctor can prescribe a course of treatment against Helicobacter pylori without diagnosing through an endoscope, but simply by testing for its presence in the body.

Helicobacter pylori treatment - basic techniques and schemes

The course of treatment for Helicobacter pylori is based on medication- at least 3 drugs, 2 of which are, of course, antibiotics. In addition to antibiotics, the doctor also prescribes a drug - a proton pump inhibitor, and doctors call this a triple treatment regimen.

Regarding the treatment regimen, there are laws and postulates here. At the very beginning, for 2 weeks, the patient takes the prescribed course of the triple treatment regimen, and also takes medications that help restore the lack of vitamins, macro- and microelements in the body, both on time and after taking antibiotics.

After that, the patient is again tested for the presence of Helicobacter pylori in his body - if it is, then the course of treatment is repeated. In addition to the medication course, the doctor monitors the patient's lifestyle and diet - it is shown to exclude any stress and bad habits, the diet should be rich in vitamins, but at the same time not contain fatty and smoked foods, fatty and spicy foods, flour and sweet foods.

Content

Infectious diseases the gastrointestinal (GI) tract are caused by various microorganisms. One of them is Helicobacter pylori. This harmful individual was found more than 50 years ago and is the only microbe of its kind that adapts to the gastric environment. Consider the symptoms and treatment of Helicobacter pylori, find out the reasons for the appearance of bacteria in the body.

What is Helicobacter pylori

Infectious lesions are often provoked by the type of microbes Helicobacter pylori. It belongs to gram-negative microorganisms and lives in the stomach. The bacterium Helicobacter pylori is the source of many inflammatory processes in the abdominal cavity: ulcers, gastritis, erosion, and malignant tumors. Find out all about the first symptoms and treatment when bacteria are found in the body.

Symptoms

A certain number of people infected with Helicobacter pylori infection note that the disease was asymptomatic. A child or adult who has no signs of an illness is often diagnosed with easy form gastritis that does not threaten health. Such facts do not mean that Helicobacter pylori is the norm for the body. The rest of the infected feel the following signs of the disease:

• pain in the stomach;
• chills, sometimes a slight increase in body temperature;
• bloating;
• stomach upset;
• nausea and vomiting.

Some infected people experience symptoms of H. pylori, manifested on the face. Pimples appear on the skin, which are difficult to miss. Sometimes there is an unpleasant odor from the mouth. Doctors emphasize the fact that even if the signs of the pylori have disappeared, this is not a guarantee of recovery. It is necessary to pass tests and take a course complex therapy if the diagnosis is confirmed.

How the bacterium is transmitted

An infectious disease enters the human body in such cases:

• through physical contact;
• coughing and sneezing;
• through non-compliance with hygiene rules;
• use of common cutlery and utensils.

Pylori enters the human body when dirty or poorly processed vegetables, fruits, and poor-quality water are consumed. Children often become infected with H. pylori infection through their mother's saliva. In most cases, infection with the Helicobacter bacterium of one household or employee at work leads to a general infection of the family and collective.

Treatment regimen for Helicobacter pylori

The symptoms and treatment of Helicobacter pylori are advised to be taken seriously. Diseases caused by stomach bacteria will progress, undermining health more and more. Today, there are two main methods for eliminating the gastric microbe: medicines and folk recipes.

Medicines

Is it necessary to treat Helicobacter pylori, how dangerous is this infection to health? The unequivocal answer is yes, therapy is a must. Timely prescribed treatment will help to avoid the development of gastrointestinal ailments. There is a chance to get rid of the bacteria by taking antibiotics. Doctors advise an eradication approach to the problem. Eradication is the complete destruction of Helicobacter pylori from the body.

There are several schemes of complex treatment against the microbe:

• first line program: Clarithromycin, Rabeprazole, Amoxicillin;
• the second line scheme: "Bismuth", "Metranidazole", "Subsalicylate" (it is a repeated course, if, according to the results of the first treatment, the bacterium remains in the body).

Along with the use of antibiotics, you need to support the body with probiotics - drugs that enrich the intestines with acid, which has a detrimental effect on pathogens of infectious diseases. For example, tablets "Bifiform" or "Linex" are perfect for these purposes. Antibacterial therapy, which is prescribed on time, allows you to completely get rid of Helicobacter pylori without complications.

Folk remedies

Traditional medicine has a large assortment of recipes in stock. How to cure Helicobacter pylori using grandma's techniques? Doctors advise combining herbs with medicines to enhance the effect. Be sure to consult with a specialist before using folk tinctures. We offer several effective recipes to destroy Helicobacter pylori without antibiotics.

1. Propolis tincture. Accept medicine at a dosage of 10 drops per glass of water. The duration of therapy is one to two months. Grind 30 g of propolis on a grater, add 100 ml of alcohol. Place ingredients in glass bottle, firmly close the lid. Insist for 10 to 14 days in a dark place.
2. We need elecampane, centaury, St. John's wort. We put the components of the medicine in equal parts in any deep dish, fill it with water (2 tablespoons of collection per 1 liter of liquid). We insist for about 5-6 hours. We filter, use 100 ml three times a day after meals.
3. A decoction of flax seeds does an excellent job with the role of "doctor". Prepare one tablespoon of dried flaxseeds and place in a bowl or bowl. Pour 0.5 liters of water over them, put on fire. We cook the drug for about 6-7 minutes, then we insist for 2 hours, filter it out. The resulting useful broth is drunk before meals for 1 tbsp. l. The treatment course is 2 months.

Nutrition for Helicobacter pylori

Diet in the treatment of disease is a necessary measure. Often, doctors prescribe nutritional therapy of the first category for patients with infectious gastrointestinal ailments. Such a diet significantly reduces the burden on the digestive system and improves it. The list of products prohibited for use changes, which depends on the nuances of each individual case of the manifestation of Helicobacter pylori. Basic nutritional rules:

• you cannot eat too hot / cold dishes;
• food intake should be balanced;
• products with maximum content nutrients, vitamins;
• the use of a large amount of mineral water with soda or purified water;
• it is recommended to eat 5 approaches per day with medium portions.

Allowed Products:

• only white breads, crackers, drying;
• meat and fish;
• eggs;
• soups cooked in low-fat broth;
• pasta, cereals;
• vegetables: potatoes, carrots, pumpkin, beets;
• berries: strawberries, raspberries.

Prohibited Products:

• fatty meat and fish;
• spicy, salty dishes;
• mushrooms;
• canned food;
• alcohol;
• baking;
• sausages, processed and smoked cheeses;
• sweets.

Diagnosis of the disease

To identify the disease, a number of medical studies are assigned. Pylori-induced inflammation in the digestive system is detected after:

• a blood test to detect characteristic antibodies;
• PCR method in studies of saliva, feces, dental plaque;
• breath tests;
• analysis of a biopsy of the mucous membrane under a microscope (taken with the help of FEGDS).

Prophylaxis

Helicobacter pylori infection often recurs, the immune system is unable to protect itself from relapse. In order to avoid the entry of Helicobacter pylori bacteria into the body, it is recommended to adhere to simple preventive measures:

• reduce frequent physical contact with strangers (eg, kissing, hugging);
• stop drinking alcoholic beverages and smoking;
• be sure to wash your hands well before eating;
• do not use personal hygiene products that belong to strangers.

Video

Helicobacter pylori infection is a serious disease, but if you adhere to some rules and follow all the doctor's recommendations, then the treatment will be as effective as possible. After watching the video, you will learn about the main symptoms, causes and essence of the disease. A qualified doctor will tell you about the diagnostic measures for the detection and treatment of Helicobacter pylori, explain in detail how to avoid infection.