More than half of the world's population suffers from Helicobacter Pylori or H. Pylori infection.
The stomach germ is a common cause of peptic ulcers, and it rarely leads to stomach cancer.
These bacteria may be present in the stomach without causing any symptoms in some people, while the
signs and symptoms of gastritis may appear in others, and in this case, you must undergo treatment for stomach germs.
Treating stomach germs early provides protection from serious complications, and successful treatment helps heal stomach ulcers and reduces their complications such as bleeding.
Below we get to know the treatment of stomach germ in detail.
Treating stomach germs with medicine
Antibiotics
Medicines that reduce stomach acid secretion
Stomach germ treatment regimens
Triple stomach germ treatment
Quadruple stomach germ treatment
Duration of treatment for stomach germs
Is stomach germ treatment tired?
Failed stomach germ treatment
Follow-up after the end of stomach germ treatment
Treatment of stomach germ herbal and natural methods
Treating stomach germs with medicine
The treatment plan for stomach germs varies from person to person, and the selection of appropriate medications depends on several factors, including:
A history of previous stomach germ infection.
The patient's use of antibiotics in the previous period.
The patient has an allergy to one of the drugs included in the treatment regimen.
The emergence of resistance to one of the antibiotics included in the treatment plan.
There is no single treatment for stomach germs.
Rather, its treatment depends on taking a group of drugs together, including two types of antibiotics with drugs that reduce the secretion of stomach acid.
Antibiotics
Antibiotics work to kill the stomach germ, and examples of antibiotics that are used to treat stomach germs include:
Amoxicillin.
Clarithromycin.
Metronidazole.
Tetracycline.
Levofloxacin
Rifabutin.
Medicines that reduce stomach acid secretion
These medications help reduce the production of stomach acid, which allows tissue affected by the infection to heal.
They include the following:
Proton pump inhibitors, such as lansoprazole, esomeprazole, pantoprazole, rabeprazole, and omeprazole, are examples.
Histamine 2 blockers, such as cimetidine.
Bismuth Subsalicylate, this medication coats stomach ulcers and protects them from stomach acid.
Stomach germ treatment regimens
Drug regimens used to treat stomach germs include:
Triple stomach germ treatment
Triple therapy is the most common treatment for H. pylori infection, and one of the following groups of drugs is taken orally for a period of 10 to 14 days:
Omeprazole at a concentration of 20 mg twice daily + Amoxicillin at a concentration of 1 gm twice daily + Clarithromycin at a concentration of 500 mg twice daily.
Bismuth subsalicylate at a concentration of 525 mg 4 times daily + metronidazole at a concentration of 250 mg 4 times daily + tetracycline at a concentration of 500 mg 4 times daily.
Lanzoprazole at a concentration of 30 mg twice daily + Amoxicillin at a concentration of 1 gm twice daily + Clarithromycin at a concentration of 500 mg twice daily.
The cure rates from stomach germs are estimated between 70-90% of total stomach germ cases. However, it has been observed that a type of H. pylori is resistant to some antibiotics used, especially clarithromycin and amoxicillin.
In this case a triple therapy that includes levofloxacin or rifabutin is used in addition to amoxicillin and esomeprazole, where cure rates can reach 90% and 88.6%, respectively.
Quadruple stomach germ treatment
Quadruple gastroenteritis is the best primary treatment in regions where the rate of resistance to clarithromycin is greater than 15%, as is the case in many parts of the developed world.
In the quadruple treatment, one of the proton pump inhibitors is taken, such as omeprazole at a concentration of 20 mg, or lansoprazole at a concentration of 30 mg twice daily + metronidazole at a concentration of 250 mg 4 times a day + tetracycline at a concentration of 500 mg 4 times daily + bismuth subsalicylate at a concentration of 524 mg 4 times daily by mouth for 14 Days.
Duration of treatment for stomach germs
The treatment for optimal stomach germs is approximately 14 days, but in some cases the doctor may recommend a longer or lesser period depending on the case.
Is stomach germ treatment tired?
Approximately 50% of patients suffer from side effects while taking stomach germ treatment, and these effects are usually mild and do not necessitate stopping the treatment.
Less than 10% of patients discontinue treatment due to side effects.
Adjustments in the dose or timing of medication may help relieve side effects.
Common side effects include:
Nausea and vomiting.
Diarrhea and stomach cramps.
a headache.
A metallic taste in the mouth.
Bismuth may cause constipation and black stools.
Failed stomach germ treatment
The percentage of patients who are not cured despite completing the first course of treatment is about 20%, in this case the doctor recommends a second treatment regimen that requires taking a proton
pump inhibitor with two types of antibiotics, at least one of which differs from the antibiotics used in the first treatment cycle, and treatment lasts for a period Another 14 days.
Follow-up after the end of stomach germ treatment
A re-test for stomach germs is usually done at least 4 weeks after the end of treatment to ensure complete elimination of the infection and cure the stomach germ completely.
A stool or breath test is recommended, and a follow-up blood antibody test is not recommended, as the antibodies remain in the blood for 4 months or more after the infection has been eliminated.
Treatment of stomach germ herbal and natural methods
There are many beliefs about the use of some natural products in treating H. pylori infection, such as treating stomach germ with honey, mastic, broccoli, and coconut oil, but they have not been
scientifically proven effective in treating the infection completely.
It is likely that some herbs and plants may contribute to treating stomach germs, such as treating stomach germs with pomegranate, specifically pomegranate peel extract, which works to inhibit the growth of stomach germs.
The treatment of stomach germs with garlic and yogurt has also been proven effective in addition to
medicines, as raw garlic acts as an antibacterial, while yogurt prevents the germ from sticking to the stomach wall because it contains probiotics.
Some other herbs have shown to help treat germs, such as treating stomach germ with ginger, turmeric, and cranberry, but we still need more studies.
The patient should talk to his doctor about these natural remedies before starting to use them, and not replace drug treatments with these natural remedies without consulting the doctor.
References
Webmd. What Is H. pylori?. Retrieved on the 8th of May, 2021, from:
https://www.webmd.com/digestive-disorders/h-pylori-helicobacter-pylori
J Thomas Lamont. Patient education: Helicobacter pylori infection and treatment (Beyond the Basics). Retrieved on the 8th of May, 2021, from:
https://www.uptodate.com/contents/helicobacter-pylori-infection-and-treatment-beyond-the-basics
Helen Colledge. H. pylori Infection. Retrieved on the 8th of May, 2021, from:
https://www.healthline.com/health/helicobacter-pylori
Mayoclinic. Helicobacter pylori (H. pylori) infection. Retrieved on the 8th of May, 2021, from:
https://www.mayoclinic.org/diseases-conditions/h-pylori/diagnosis-treatment/drc-20356177
Charles Patrick Davis. Helicobacter Pylori(H. pylori) Infection. Retrieved on the 8th of May, 2021, from:
https://www.medicinenet.com/helicobacter_pylori/article.htm
Luigi Santacroce. Helicobacter Pylori Infection. Retrieved on the 8th of May, 2021, from:
https://emedicine.medscape.com/article/176938-overview#a1
Nimish Vakil . Helicobacter pylori Infection. Retrieved on the 8th of May, 2021, from:
Joseph Adrian L Buensalido. Helicobacter pylori Infection Treatment .Retrieved on the 8th of May, 2021, from:
https://emedicine.medscape.com/article/2172395-overview
Elisa Colombo, Enrico Sangiovanni, and Mario Dell'Agli. A Review on the Anti-Inflammatory Activity of Pomegranate in the Gastrointestinal Tract. Retrieved on the 8th of May, 2021, from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612487/
Shannon Johnson. What are the best natural H. pylori treatments?. Retrieved on the 8th of May, 2021, from:
https://www.medicalnewstoday.com/articles/322627
Mahmoud Zardast, Kokab Namakin, Jamil Esmaelian Kaho, and Sarira Sadat Hashemi. Assessment of antibacterial effect of garlic in patients infected with Helicobacter pylori using urease breath test. Retrieved on the 8th of May, 2021, from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052411/
Haim Shmuely, Noam Domniz, and Jacob Yahav. Non-pharmacological treatment of Helicobacter pylori. Retrieved on the 8th of May, 2021, from:
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