Helicobacter Pylori: Symptoms, Treatment, and Follow-Up Care - Gastroenterology and Hepatology

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Dear Patient,
Thank you for your inquiry regarding Helicobacter pylori (H. pylori) infection and its implications for your husband's health. I appreciate your detailed questions, and I will address each of them to provide a comprehensive understanding of this condition.


Understanding "胃有點破皮"
When the doctor mentions that the stomach has "a bit of broken skin," they are likely referring to the presence of mucosal damage or erosion in the stomach lining. This can occur due to various factors, including inflammation caused by H. pylori infection, excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs), or excessive alcohol consumption. H. pylori is a common bacterium that can lead to chronic gastritis and is a significant risk factor for the development of peptic ulcers. The inflammation and damage to the stomach lining can manifest as erosions or ulcers, which may cause symptoms such as abdominal pain, bloating, and indigestion.


Is H. pylori the Cause?
Yes, H. pylori is often implicated in causing mucosal damage in the stomach. The bacterium can disrupt the protective mucous layer of the stomach, leading to inflammation (gastritis) and potentially resulting in ulcers. It is essential to treat H. pylori infections effectively to prevent further complications, such as bleeding ulcers or gastric cancer.


Transmission of H. pylori
H. pylori is indeed transmissible. It is primarily spread through oral-oral or fecal-oral routes. This means that it can be transmitted through contaminated food, water, or direct contact with saliva. It is crucial for family members or close contacts of an infected individual to be aware of hygiene practices to minimize the risk of transmission.


Benefits of Yogurt
Regarding your question about consuming yogurt, particularly probiotic yogurt, it can be beneficial. Probiotics, such as those found in yogurt, may help restore the balance of gut flora and improve gastrointestinal health. Some studies suggest that probiotics can enhance the effectiveness of H. pylori eradication therapy and reduce antibiotic-associated side effects, such as diarrhea. However, it is essential to consult with your healthcare provider before making significant dietary changes during treatment.


Follow-Up Care and Endoscopy
As for the need for regular follow-up endoscopies, it depends on several factors, including the severity of the initial findings, the response to treatment, and any ongoing symptoms. After completing the eradication therapy, it is common practice to perform a follow-up test (such as a breath test, stool antigen test, or endoscopy) to confirm that the H. pylori infection has been successfully eradicated. If your husband continues to experience symptoms or if there are concerns about the mucosal damage, further endoscopic evaluations may be warranted.


Conclusion
In summary, H. pylori is a significant factor in gastric mucosal damage, and effective treatment is crucial for healing and preventing complications. It is essential to follow the prescribed treatment regimen and maintain open communication with your healthcare provider regarding any ongoing symptoms or concerns. Regular follow-up care is vital to ensure that the infection is eradicated and to monitor the health of the stomach lining.

If you have any further questions or concerns, please do not hesitate to reach out. Your husband's health is of utmost importance, and I am here to assist you.

Best regards,
Doctor Q&A Teams