Is a Helicobacter Pylori Level of 6.8 Normal and Does It Require Treatment?

Helicobacter pylori

Hello Doctor: I recently had a test for Helicobacter pylori with a value of 6.8.
Is this considered normal? Do I need treatment? Thank you.

Xiao Xiao, 20~29 year old female. Ask Date: 2002/07/15

Dr. Xu Ruihong reply Gastroenterology and Hepatology

Helicobacter pylori is a common infection in densely populated areas.
However, there is currently no consensus on its exact role.
Some scholars believe it has a significant association with gastric cancer, while the majority hold opposing views.
It is now considered that if a patient has recurrent ulcers and tests positive for Helicobacter pylori, treatment is necessary to reduce the recurrence rate of the ulcers.

Reply Date: 2002/07/15

More Info

When it comes to Helicobacter pylori (H. pylori) testing, a level of 6.8 is generally considered to be elevated, indicating a potential infection. H. pylori is a type of bacteria that can infect the stomach lining and is known to be a significant risk factor for developing gastritis, peptic ulcers, and even gastric cancer. The presence of H. pylori is often assessed through various tests, including breath tests, stool antigen tests, and endoscopic biopsy.

In terms of treatment, the standard approach for an H. pylori infection typically involves a combination of antibiotics and acid-reducing medications, such as proton pump inhibitors (PPIs). This treatment regimen is often referred to as "triple therapy," which usually includes two different antibiotics and a PPI to help heal the stomach lining and reduce acid production. The goal of treatment is to eradicate the bacteria and alleviate any associated symptoms, such as abdominal pain, bloating, or nausea.

It is important to note that not everyone with an elevated H. pylori level will require treatment. The decision to treat often depends on the presence of symptoms and any related gastrointestinal conditions. If you are experiencing symptoms such as persistent stomach pain, indigestion, or unexplained weight loss, it would be advisable to discuss these with your healthcare provider. They may recommend treatment even if the symptoms are mild, as eradicating H. pylori can prevent more serious complications in the future.

Additionally, if you have a history of peptic ulcers or gastritis, or if there is a family history of gastric cancer, your doctor may recommend treatment regardless of the current symptoms. Regular follow-up and monitoring may also be necessary to ensure that the infection has been successfully treated and to assess for any potential complications.

In summary, a Helicobacter pylori level of 6.8 is indicative of an infection that may require treatment, especially if you are experiencing gastrointestinal symptoms or have a history of related health issues. It is essential to consult with your healthcare provider to discuss your specific situation, potential treatment options, and any necessary follow-up care. They will be able to provide personalized recommendations based on your overall health and medical history.

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