Doctor insights on:
Helicobacter Pylori Antibody
Does a person with a positive helicobacter pylori antibody test always remain seropositive even after successful treatment?
Once +, always +: The blood test for h pylori looks for your immune response to the infection. Once you turn positive, you never revert back to negative, even after appropriate antibiotic treatment. That's how you're protected in the future. On the other hand, if you want a test of cure to prove that the infection is gone, you need a breath test to confirm eradication. ...Read more
Helicobacter pylori (or h.Pylori) is a common bacteria which infects the lining of the stomach and can cause ulcers and stomach irritation, among other problems. It is fairly common on the United States and even more common in other parts of the world. It can be diagnosed by blood tests, stool tests, endoscopy, and several other methods. Treatment is a 7-14 ...Read more
Can you get Helicobacter Pylori again later, after having taken the antibiotics the first time around?
Yes.: No one knows how the germ is spread. Only suggestions include good handwashing & safe food preparation & handling. Also, not every treatment regimen works, that's why there are 8 suggested regiments to treat it. You and your doc need to sort out if you had a complete cure and then got re-infected, or the first infection never completely healed. See http://www.cdc.gov/ulcer/files/hpfacts.PDF ...Read more
Yes.: H.Pylori has been implicated in ulcer formation. The most common way of treating h. Pylori is with the use of antibiotics. ...Read more
Many regimens!: There are five commonly used regimens, plus others not used much. All give about an 85% cure rate, so if 100 people are treated, eradication will not occur in 15. Since if you test positive for h.Pylori, even after rx, you will always remain positive. My favorite combo is Clarithromycin 500 bid, Metronidazole 500 bid, and a twice daily proton pump inhibitor. Six pills a day is a lot. ...Read more
Many types: Helicobacter pylori is typically treated for 14 days with dual antibiotics therapy (Amoxicillin + Clarithromycin or Metronidazole + Tetracycline derivatives, and bismuth subsalicylate with proton pump inhibitor (Omeprazole or Lansoprazole Pantaprazole or Esomeprazole). To assess for eradication of Helicobacter pylori infection post treatment, urea breath test is utilized. ...Read moreSee 1 more doctor answer
H.pylori: Helicobacter pylori (or h.Pylori) is a common bacteria which infects the lining of the stomach and can cause ulcers and stomach irritation, among other problems. It is fairly common on the United States and even more common in other parts of the world. It can be diagnosed by blood tests, stool tests, endoscopy, and several other methods. Treatment is a 7-14 day course of antibiotics. ...Read more
Treat the H.pylori: H.Pylori status is checked with the intention of treating the infection to eradication, when found. Household contacts that are co-infected (fecal-oral route) should receive concurrent therapy to avoid re-passing the infection from the untreated partner to the treated one. ...Read more
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