Helicobacter Pylori Treatment and Precautions

Helicobacter pylori is a parasitic bacteria in the gastric mucosa, which can cause gastritis, gastric ulcer and other diseases. The following are the popular science and precautions for the treatment of Helicobacter pylori: 1. Treatment quadruple therapy: This is currently the most commonly used treatment, including: proton pump inhibitors: such as omeprazole, lansoprazole, etc., the main role is to inhibit gastric acid secretion, to create a favorable environment for antibiotics to play a role. Antibiotics: Commonly used combinations include amoxicillin + clarithromycin, amoxicillin + metronidazole, etc., which are used to kill Helicobacter pylori. Bismuth agents, such as bismuth potassium citrate, can protect gastric mucosa and promote the repair of gastric mucosa. Specific protocol: Protocol Antibiotics 1 Antibiotics 2 1 Amoxicillin 1000mg, twice/day Clarithromycin 500mg, twice/day 2 Amoxicillin 1000mg, twice/day Levofloxacin 500mg once/day or 200mg, twice/day 3 Amoxicillin 1000mg, Furazolidone 100mg twice a day, tetracycline 500mg twice a day, metronidazole 400mg 3-4 times a day, tetracycline 500mg 3-4 times a day, furazolidone 100mg 3-4 times a day, amoxicillin 1000mg twice a day, metronidazole 400mg twice a day, 3-4 times/day 7 amoxicillin 1000mg, 2 times/day tetracycline 500mg, 3-4 times/day Note: standard dose proton pump inhibitor + standard dose (2 times/day, orally half an hour before meals) + 2 kinds of antibacterial drugs (orally after meals). The standard dose of proton pump inhibitors was esomeprazole 20 mg, rabeprazole 10 mg (or 20 mg), omeprazole 20 mg, lansoprazole 30 mg, metoprazole 40 mg, and ilaprazole 5 mg; The standard dose is potassium citrate 220mg (pectin standard dose to be determined) Triple therapy: In some cases, the doctor may choose triple therapy, that is, proton pump inhibitor + two antibiotics, or bismuth + two antibiotics. 2. The treatment cycle is usually 10 to 14 days, so it is necessary to take the medicine strictly according to the medical supervision on time and in accordance with the dosage, so as to avoid missing or increasing or decreasing the dosage by oneself. 3. Precautions Take the medicine on time: Take the medicine strictly according to the doctor’s prescription, and do not increase or decrease the dosage or change the medicine by yourself. Dietary adjustment: During treatment, attention should be paid to light diet, avoid eating spicy, greasy, stimulating food, such as pepper, coffee, strong tea, wine and so on. At the same time, we should pay attention to dietary hygiene and avoid eating unclean food, so as not to aggravate the condition. Avoid drug abuse: Some drugs, such as aspirin enteric-coated tablets and ibuprofen tablets, can stimulate gastric mucosa, aggravate gastritis and gastric ulcer, and affect the therapeutic effect of Helicobacter pylori. Therefore, abuse of these drugs should be avoided during treatment. Regular reexamination: 4 to 8 weeks after the end of treatment, reexamination should be carried out, such as urea breath test or carbon-14 breath test, to determine whether Helicobacter pylori has been eradicated. If the result of reexamination is still positive, treatment should be carried out again. Family co-treatment: If there are patients with Helicobacter pylori infection in family members, it is recommended to treat them together to prevent mutual infection. At the same time, tableware should be disinfected regularly and public chopsticks should be used to avoid cross infection. 4. Lifestyle adjustment During and after treatment, patients should also pay attention to lifestyle adjustment, including maintaining good eating habits, adequate sleep, proper exercise, etc., in order to improve the body’s immunity and prevent the recurrence of Helicobacter pylori. In short, the treatment of Helicobacter pylori needs to consider a variety of factors, choose the appropriate treatment plan, and strictly follow the medical supervision. At the same time, paying attention to the adjustment of lifestyle is helpful to improve the therapeutic effect and prevent recurrence. If you have any questions or discomfort, you should seek medical advice and inform your doctor about your medication.