Helicobacter pylori – diagnosis and therapy

Helicobacter pylori - diagnosis and therapy

Helicobacter: diagnosis by gastroscopy

Today, doctors can use modern diagnostic methods to determine without a doubt whether Helicobacter pylori settles in the stomach.

Fear or false shame: The safest examination method for Helicobacter pylori is gastroscopy, gastroscopy, in which one can see the stomach and duodenum through a thin, flexible tube and take tissue samples without pain. The “swallowing of the tube” was uncomfortable, but it was over within a few minutes.

 

Tests to detect Helicobacter pylori

Other examination methods, such as breath, stool or blood tests, are more comfortable for the patient than gastroscopy. However, their results reveal nothing about the condition of the stomach, whether gastritis or an ulcer has spread.

Helicobacter pylori: Therapie

The diagnosis “Helicobacter pylori” is the first step towards therapy. The most effective way to checkmate Helicobacter pylori is with a three-pronged combination therapy. This so-called triple therapy includes a gastric acid inhibitor and two antibiotics and lasts seven days. 

At a consensus conference, leading international Helicobacter pylori experts favoured using pantoprazole as a gastric acid inhibitor and amoxicillin and clarithromycin as antibiotics. This combination prevents failures due to pathogen antibiotic resistance from the outset.

 

Do not stop treatment for H. pylori prematurely.

The affected person feels an improvement in their symptoms after just two to three days of taking the tablet because the gastric acid inhibitor impedes acid production in the stomach, thus protecting the damaged gastric mucosa.

As a result, the patient tends to let the therapy slide or stop it altogether. However, the therapy must be continued for the remaining days because only after this time do the two antibiotics have the opportunity to attack Helicobacter pylori.

The therapy can be carried out particularly easily with a 7-day pack that contains all three drugs in the correct dosage.

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