Helicobacter Pylori infection
Helicobacter pylorus is a type of bacteria that infects the lining of the stomach and duodenum. It is a common infection and is often present without causing symptoms. The infection is associated with symptoms of dyspepsia, peptic ulcer, oesophageal inflammation and gastric cancer. Helicobacter infection is diagnosed by a number of special tests such as blood test, breath test, faecal tests and at gastroscopy (see link below).
Diagnosis
Diagnosis is based on blood tests, stool tests and breath tests to confirm the presence of Helicobacter infection. Direct visualisation of the ulcer in the stomach or duodenum is possible through an endoscope (a flexible fib optic telescopic device passed down to the stomach and duodenum via the mouth and gullet). In younger patients diagnosis may be made on the basis of the clinical features alone.
Treatment
The helicobacter infection is readily treated with drugs. The person takes a short course of two antibiotics, usually in combination with a proton pump inhibitor (a drug that reduces the amount of acid the stomach produces). The antibiotics prescribed include amoxicillin, clarithromycin or metronidazole. Omeprazole, lansoprazole, pantoprazole and esomeprazole are examples of proton pump inhibitors. Treatment lasts between 7 to 14 days depending on the combinations chosen. The course of tablets may be repeated for recurrent symptoms.
Care and Mobility Considerations
Helicobacter infection responds successfully to drug therapy. People with this condition are unlikely to experience significant or persistent functional restrictions, or have any need for help with self-care or difficulty in walking.
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Amended April 2008
