All About Helicobacter Pylori Dyspepsia

By | February 26, 2018

What is dyspepsia?


Dyspepsia is a term used to describe symptoms (painful and disturbed digestion) that occur in upper gut region.  The upper gut region includes stomach, esophagus and duodenum.

Common causes for dyspepsia include duodenal ulcer, inflamed esophagus (esophagitis) inflamed stomach (gastritis) and stomach ulcers.


Sometimes when there can be no reason found for dyspepsia, it is called non-ulcer dyspepsia. It is also called as functional dyspepsia. H. pylori infection is one of the causes of non-ulcer dyspepsia. However, there are many people who are carriers of this bacterium and still do not show any dyspepsia symptoms. Hence, the role of Helicobacter pylori in dyspepsia is still debated though they are considered main causative agents of stomach and duodenal ulcers.


For diagnosis of non-ulcer dyspepsia, the person needs to display the symptoms for at least 12 weeks and should not be suffering from organic disease such as peptic ulcer and esophagitis. Doctors recommend testing for Helicobacter pylori as eradication of H. pylori can cure a majority of peptic ulcers and prevent the development of gastro duodenal disease in the future.


Treatment for functional dyspepsia due to H. pylori infection:


If you are suffering from functional dyspepsia due to H. pylori infection, then you need to get the infection cleared. Primary treatment to eradicate H. pylori dyspepsia includes treating with antacids. However, people who don’t respond to these primary treatments are considered for other expensive treatments such as those described below:


1. Proton pump inhibitor dual treatment:


Proton pump inhibitor plus clarithromycin or amoxicillin for two weeks


2. New Triple treatment:


Proton pump inhibitor, H2 receptor, antagonist or ranitidine bismuth citrate with two or three doses of, clarithromycin, amoxicillin and 5-nitroimidazole for a minimum  of one week.


Standard Triple Treatment:


Bismuth salt with two out of three – amoxicillin, metronidazole, tetracycline for a minimum of one week.


4. Quadruple treatment:


This treatment includes Proton pump inhibitor, in addition to standard triple treatment.

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