H.pylori: Biopsy? Stool Test? Here’s what you should do.

H.pylori: Biopsy? Stool Test? Here’s what you should do.

H.pylori 2Although it’s a difficult bug to treat, there are multiple antibiotic regimens that can be used

H. pylori is a bacteria that infects the lining of the stomach and is usually a chronic infection and is usually associated with ulcer disease. It is controversial in GI circles as to whether H.pylori ever causes any symptoms  whatsoever. There are multiple antibiotic regimens that can be used, it’s a very difficult bug to treat. The question really is, “Have you really failed treatment?” This would require a stool test or a repeat biopsy of the stomach to really see if the bacteria is still present. The major reason for treating this is because it prevents the future occurrence of ulcers. To determine if it really has been eradicated or not and that would require endoscopy and
biopsy or possibly a stool test.

- Dr. C. Raymond Cottrell, M.D.,Gastroenterologist

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