H. Pylori Antibodies: What a Positive Result Means for Your Health - Gastroenterology and Hepatology

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Helicobacter pylori antibodies


Hello Director Chen,
I have tested positive for Helicobacter pylori antibodies (H.
pylori Ab), while my health report shows negative results, which indicates health.
Does this mean I have an H.
pylori infection? What can I do to return to a negative status? Thank you!

Fred, 30~39 year old female. Ask Date: 2008/11/12

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello Mr.
Fred:
1.
About half of the Taiwanese population is infected with Helicobacter pylori, so there is no need to panic.

2.
Patients with gastric or duodenal ulcers can receive antibiotic treatment covered by health insurance (with a success rate of about 90%).

3.
Otherwise, eradication treatment may need to be paid out-of-pocket, but it is not necessarily recommended.

4.
Even after eradication, blood tests may still show false positives, and a special breath test is required to confirm whether the eradication was successful.
Best regards,
Chen Shidian, Changhua Hospital

Reply Date: 2008/11/12

More Info


A positive result for Helicobacter pylori (H. pylori) antibodies indicates that your body has been exposed to this bacterium at some point. H. pylori is a type of bacteria that can infect the stomach lining and is known to be a significant risk factor for various gastrointestinal issues, including gastritis, peptic ulcers, and even stomach cancer.
When your test result shows positive for H. pylori antibodies, it suggests that your immune system has responded to the presence of the bacteria, which could mean an active infection or a past infection that your body has successfully fought off. However, it is important to note that the presence of antibodies alone does not confirm an active infection. To determine whether you currently have an active H. pylori infection, additional tests, such as a urea breath test, stool antigen test, or endoscopy with biopsy, may be necessary.

If you are experiencing symptoms such as abdominal pain, bloating, nausea, or unexplained weight loss, it is advisable to consult with a healthcare provider for further evaluation and potential treatment. Treatment typically involves a combination of antibiotics and acid-reducing medications, which can help eradicate the bacteria and promote healing of the stomach lining.

To answer your question about how to restore a negative result, the first step is to undergo appropriate treatment if an active infection is confirmed. After completing the treatment regimen, follow-up testing is usually recommended to ensure that the infection has been successfully eradicated. This follow-up can be done through non-invasive tests like the urea breath test or stool antigen test.

In terms of prevention, maintaining good hygiene practices, such as washing hands thoroughly before meals and ensuring food is properly cooked, can help reduce the risk of H. pylori infection. Additionally, avoiding excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs) and managing stress can also contribute to gastrointestinal health.

In summary, a positive H. pylori antibody test indicates past or current exposure to the bacterium, and further testing is needed to confirm an active infection. If you have symptoms or concerns, consulting a healthcare provider for appropriate testing and treatment is essential. Following treatment, follow-up testing will help determine if the infection has been cleared, allowing you to achieve a negative result.

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