Ulcer and Helicobacter pylori infection: relationship. Advice from the British Society of Gastroenterology regarding Helicobacter pylori. Helicobacter pylori has been discovered and what is the treatment.

Scientists have long established that Helicobacter pylori is a bacterium that has caused many problems and diseases of the gastrointestinal tract, ranging from gastritis to stomach cancer. However, statistics also give a different figure - Helicobacter pylori is present in the body of every person, but provokes the disease only in half of the cases. The question naturally arises: is it necessary to treat Helicobacter pylori or leave this time bomb alone, in which cases will it be appropriate and in which not?

In what cases is it worth fighting bacteria?

On the question itself - is it necessary to treat Helicobacter pylori, the opinion of doctors is clearly divided and depends on many factors and issues. The debates themselves were heated and long, but in the end, doctors came to a common consensus and reduced their decisions on the issue of combating the bacterium to the following postulates:

• Helicobacter to treat or not– for duodenal ulcers and stomach ulcers, treatment is mandatory;
• course of antibacterial therapy indicated to all close relatives of a patient diagnosed with stomach cancer;
• eradication indicated by doctors when diagnosing the atrophic form of gastritis - this type of pathology is a precancerous condition, but not a stomach ulcer;
• Treatment should be taken if there is a lack of iron in the body and the development of anemia– the main thing here is to diagnose the root cause, when the patient simply loses iron or it is not absorbed from foods due to the negative effect of bacteria.

All the situations described above refer to those cases when Helicobacter pylori has already been diagnosed. But in this case, a logical question arises: is it worth looking for this bacterium in the stomachs of all patients complaining of certain ailments?

When should you look for Helicobacter pylori?

In this matter, doctors state the following:

1. Proton pump inhibitors do not help with gastrointestinal pain– this is a group of medications that allows you to reduce the level of aggressiveness of gastric juice;
2. When diagnosing symptoms such as low iron levels in the body and fatigue are the first signs that indicate the development of cancer;
3. As part of a routine examination and hospitalization– the examination is carried out to identify bacteria even when there are no attacks of pain in the abdominal area. In this case, it is recommended to do a biopsy and gastroscopy every 5-7 years;
4. The patient is a candidate at risk when his close relatives are sick or have previously had stomach cancer;
5. The examination revealed gastrointestinal dysplasia, as well as intestinal metaplasia or an atrophic form of gastritis.

Is treatment for Helicobacter pylori beneficial?

In this regard, doctors give an answer taking into account several points and factors.

If the patient is diagnosed with an ulcer.

Until the recent discovery of this bacterium, which, according to most scientists, is the main provocateur of the development of problems with the gastrointestinal tract, the main root cause of the development of ulcers was considered to be the increased acidity of gastric juice. Previously, doctors used drugs that lowered the level of acidity, but now it is known that it is worth fighting first of all with pathogenic microflora.

If there is no ulcer.

Is it necessary to treat Helicobacter if there is no ulcer - a good question often asked by patients. 1 patient out of 10 who is diagnosed with dyspepsia, the bacterium Helicobacter pylori, but does not have an ulcer as a result of treatment for the pathogenic bacterium, will feel many times better. Many doctors are inclined to believe that this will not only improve the patient’s condition, but will also serve as a prevention of gastrointestinal problems caused by bacteria.

When diagnosing problems with the gastrointestinal tract, but it is not known whether there is an ulcer, it all depends on the situation. Today, when diagnosing symptoms such as weight loss and bouts of vomiting, problems with swallowing, it is worth undergoing an examination using an endoscope. If there are no such negative symptoms, the doctor can prescribe a course of treatment against Helicobacter pylori without diagnosis through an endoscope, but by simply testing for its presence in the body.

Treatment of Helicobacter pylori - basic methods and regimens

The course of treatment for Helicobacter pylori is based on medication– at least 3 drugs and 2 of which are, of course, antibiotics. In addition to antibiotics, the doctor also prescribes a drug - a proton pump inhibitor, and doctors call this a triple treatment regimen.

Regarding the treatment regimen, there are its own laws and postulates. At the very beginning, for 2 weeks, the patient takes the prescribed course of a triple treatment regimen, and also takes medications that help restore the lack of vitamins, macro- and microelements in the body, both during and after taking antibiotics.

Afterwards, the patient is again tested for the presence of Helicobacter pylori in his body - if it is, then the course of treatment is repeated. In addition to the medication course, the doctor monitors the patient’s lifestyle and diet - it is recommended to exclude any stress and bad habits, the diet should be rich in vitamins, but not contain fatty and smoked foods, fatty and spicy foods, flour and sweets.

The name of the bacterium directly depends on its location; it lives in the pyloric section of the stomach. This microorganism is very resistant and is able to withstand the aggressive environment of the stomach. The infection is very widespread and ranks second in number of carriers after the herpes virus. More than 60% of the world's population is infected with Helicobacter pylori.

Routes of transmission of Helicobacter pylori:

• The main route of transmission is through household contact. You can become infected through water, contaminated vegetables, or through common household items.
• Airborne droplets - when sneezing and coughing, infection with Helicobacter pylori is also possible.

The infection can be classified as “family”; when one of the family members is infected, in most cases the rest of the household becomes infected.

Symptoms of the presence of Helicobacter pylori in the body

A person may not even suspect that a bacterium has entered the body; it is present in the stomach in dormant mode, until the body’s defenses are reduced due to emotional stress and various diseases.

Symptoms of the presence of bacteria can vary depending on the pathology that it provoked. With gastritis, nausea, vomiting, stomach pain, heartburn, belching, and bad breath are observed. With gastroduodenitis, all of the above symptoms may be accompanied by stool disorders and loss of appetite.

Scientists have proven the ability of Helicobacter pylori to provoke the appearance of such chronic inflammation on the face as rosacea. It is characterized by the appearance of rashes on the face; the disease mainly affects older people.

Diagnosis of Helicobacter pylori

Diagnosis of infection should be based on medical history and examinations, since no diagnostic method is 100% proof of the presence of infection, several examinations must be carried out.

The following tests are used to detect the presence of bacteria:

• Cytological studies– material is collected for cytological analysis during endoscopy. Endoscopy allows not only to collect material, but also to assess the condition of the gastric mucosa. The biopsy is taken from those areas that, in the opinion of the specialist, are most susceptible to pathological changes. The analysis reveals the degree of bacterial growth.
• Urease analysis− material for diagnostics is also taken using an endoscope. The resulting material is placed into the test. The test allows you to judge the condition of the gastric mucosa.
• Breath test– allows you to determine the level of bacterial colonization of the stomach. The test is considered the safest. However, it requires some preparation.

PCR, enzyme immunoassay and microbiological tests are also used to clarify the diagnosis.

Treatment

Treatment of helicobacteriosis is a long and labor-intensive process. Helicobacter pylori is able to adapt to the effects of many drugs. Treatment is carried out using a variety of regimens, differing in antibiotics and drugs that can reduce acidity.

Antibiotic therapy is prescribed only in cases where the drugs bring more benefit to the body than harm. All medications are selected by the doctor strictly individually.

Therapy includes taking antacids, proton pump blockers, and antibacterial drugs. Improvement may occur as soon as you start taking medications. When improvement occurs, some people think about stopping taking medications, however, this should not be done, because the infection can adapt to the medication and all the symptoms will return again. To improve the result, the patient must give up bad habits and adhere to a healthy diet, excluding fatty, fried, spicy and smoked foods.

Plants that have properties similar to antibiotics are used to treat infections. Many people prefer treatment with folk remedies and reviews of the treatment are very positive. However, it must be remembered that before starting treatment with folk remedies, you need to consult a doctor. With the help of decoctions and tinctures of herbs and other plants, the patient's condition can be significantly improved.

Lion - an enveloping traditional medicine

A decoction of flax seeds can form a protective film on the gastric mucosa, reduce the manifestation of symptoms such as heartburn and nausea, and eliminate inflammation. The decoction is prepared in this way: flax seeds are poured into 250 ml of water and boiled for 5 minutes. After preparation, the decoction should sit for approximately three hours. It is consumed in the amount of a tablespoon 15 minutes before each meal.

A decoction of flax seeds is also used for stomach ulcers caused by this microorganism; the recipe is slightly different. The seeds must be crushed and boiled for two hours with two liters of water. The prepared mixture is filtered and infused. It is taken for 3 months before meals.

Propolis is an effective remedy to fight infection

Propolis is a very good helper in strengthening the immune system and, thanks to its properties, helps the body cope with the microorganism much faster. To treat helicobacteriosis, a 10% propolis tincture is used, which is diluted in water before use and applied approximately an hour before meals (10 drops of propolis per 200 ml of water). This tincture is prepared on the basis of alcohol and can be purchased at a pharmacy or prepared independently.

Since ancient times, plantain has been famous for its healing properties, but everyone is accustomed to using it in a slightly different way. It turned out that plantain can be a good helper for getting rid of harmful microorganisms. To do this, you need to consume plantain either raw or as tea. In its raw form, you need to eat 1 plantain leaf three times a day and drink it with some water. You can also prepare a solution in the form of tea; for this you will need 2 tablespoons of dry plantain and 2 cups of boiling water. All this is infused for 12 hours and then taken an hour after meals.

The cones contain a substance that can neutralize infection; they also eliminate the inflammatory process in the stomach and duodenum. To prepare the tincture, crushed cones (2 tablespoons) and half a liter of water are used, the whole drug is boiled for 30 minutes. After boiling, the liquid should be left to steep for about an hour and drunk instead of tea.

Sea buckthorn oil has a pronounced anti-inflammatory and wound-healing effect. It is taken both in pure form and in combination with honey, butter and chicken eggs.

The use of fresh eggs, which are drunk 3 hours before meals, is widespread among traditional medicine.

Beetroot juice is a natural enveloping agent; it covers the mucous membranes with a protective film, thus soothing and healing wounds. Squeezed beet juice is diluted in a 1:1 ratio and drunk before meals.

To prepare the tincture, flowers from trees such as pear and apple trees are used, and strawberry and lingonberry leaves are also added to them. The decoction is prepared in the following proportion: 4 tablespoons of the mixture are poured with 1 liter of boiling water and infused for several hours. In between meals, you need to drink the tincture.

Calendula in combination with herbs such as St. John's wort and yarrow has a good analgesic and calming effect. The mixture of these herbs is poured with hot boiled water and infused for some time.

Garlic and onions have strong antibacterial and anti-inflammatory properties. Constant consumption of onions and garlic helps get rid of the microorganism.

Ginger and ginseng are known for their ability to strengthen the immune system. Have a detrimental effect on bacteria.

To make the tincture you will need a green nut and half a liter of vodka. The nut is crushed and filled with vodka. Place the finished product in a dark place for a couple of weeks. You should drink 1 teaspoon of the tincture before meals.

These berries are considered very beneficial for the body, because they contain an incredible amount of vitamins. The juice has antimicrobial properties and actively resists infection. But before consuming it, you should seek advice from a gastroenterologist, since the juice is highly acidic and in some cases can only cause harm.

The mixture made from these ingredients is filled with 40% ethyl alcohol and infused for a week in a dark place. The infusion should be consumed before meals. Contraindication is peptic ulcer disease.

It is a natural acidity regulator. Drink cabbage juice half an hour before meals.

Folk remedies for treating Helicobacter pylori include the following herbal teas:

• St. John's wort, chamomile, celandine and yarrow– 4 spoons of mixture per 1 liter of water. The mixture of herbs is poured with hot water and infused for about 8 hours.
• St. John's wort, centaury and elecampane root– brewed in the same proportion as the previous decoction. Consume it between meals.
• Clover, St. John's wort, peony (root), licorice (root), primrose– 2 tablespoons of the mixture are steamed with 2 glasses of water and infused for 60 minutes. I drink half a glass of the decoction in between meals.

All articles on the resource are written by certified specialists and practicing doctors. However, with all this, they are for informational purposes only. If symptoms of the disease occur, you should consult a doctor.

Treatment of Helicobacter pylori with folk remedies

Treatment of Helicobacter pylori with folk remedies had not yet been born - people did not know about the existence of the microbe. Antibiotics do not cope with the scourge. Do not place high hopes on treatment with folk remedies. Effective - onions and garlic. Spicy food is good for you! Previously they said: these components aggravate the situation.

The situation is still reminiscent of the times when types of dysentery were considered the result of a single cause. Seeing the symptoms, the same treatment was prescribed. Gastritis caused by a microbe was tried to be treated by organizing proper nutrition and getting rid of bad habits. It was proven: it made sense - alcohol and cigarettes negatively affect the production of mucus. Take the first “folk remedies” for Helicobacter pylori: stop drinking and smoking.

About gastritis and microbes

People were worried about “bloody diarrhea” rather than indigestion or heartburn. The problem was to survive. Doctors are trying to help achieve comfort. The bacterium Helicobacter pylori causes gastritis and ulcers. The opinion of scientists has been disputed for years, as in the case of the proposal in the 20s of the 20th century to distinguish dysentery by genesis.

It is not possible to treat Helicobacter pylori with folk remedies. No suitable combinations found. There is a well-known story about a man whom doctors predicted would die soon due to an ulcer. The man went to great lengths (drank, smoked) and after a while recovered.

Helicobacter pylori is afraid of onions and garlic. As a result of chewing the head, allicin, a sulfoxide formed from the precursor of alliin and a special enzyme, enters the stomach. Herbal treatment will not achieve the same effect. Allicin is a formidable enemy of Helicobacter. When chewed in the mouth, the enzyme mixes with alliin - a bactericidal agent enters the stomach.

When cooking, the effect is destroyed. Alliin comes from the amino acid cysteine ​​and is responsible for the garlicky smell. Allicin came to the attention of doctors in 1944. Chester Cavallito and John Bailey obtained the substance in laboratory conditions. Over time, the reason for the damage to a garlic or onion plantation by a rare pest became clear.

It is important to chew food thoroughly - the enzyme is inactivated when the pH of the environment drops to 3 (stomach acidity from 1 to 2). Under normal conditions, the substance breaks down spontaneously within 16 hours. In medicine, the substance is being tested. The results seem unclear to doctors. They do not summarize whether it is possible to get rid of Helicobacter in this way.

Traditional methods are known - crushed onions are hung in gauze around infants. Legends say that garlic drives away vampires. Perhaps blood suckers only attack those carrying Helicobacter pylori. Victims are advised to get rid of the bacteria.

Alternative medicine uses bee products. It was decided to conduct a study on the topic of eliminating microbes with honey. It is proposed to use honey extracted in Australia and New Zealand from the manuka plant. The tree is from 2 to 5 meters high, there are specimens reaching 15.

The Royal Society of Medicine became interested in the problem. Scientists decided to find out the rationale for the application. Helicobacter causes dyspepsia, which develops into gastritis and ulcers if left untreated.

Honey has been used as a medicine since ancient times. In Islamic countries, information about this is recorded in the Koran. The information interested scientists: traditional treatment of gastritis is ineffective, and the relapse rate is high. Within 2 years the figure was close to 100 percent. Treatment with honey turned out to be inexpensive and took less time. When determining whether Helicobacter provokes gastritis, scientists decided to determine the effect of honey on the bacterium.

Research has proven that crops are sensitive to a 20% solution of manuka honey. When the concentration is doubled, the effect disappears. Scientists' explanations: when the specific gravity of honey increases, the effect is achieved by hydrogen peroxide. Studies on the minimum concentration have shown: 5% is enough to suppress Helicobacter activity within 72 hours.

Along the way, scientists noticed: antibacterial properties strongly depend on the source of pollen collected by bees. The main factor is hydrogen peroxide, produced in honey by the action of glucose oxidase added by insects. The dominant role is given to secondary factors determined by the composition of the fingers. New Zealand scientists tested 345 varieties of honey taken from 26 plants. Manuka flowers produce such a stunning effect.

Antibacterial activity due to secondary components was equivalent to a 14% phenol solution. To obtain a 20% solution of honey, take 5 grams per 100 milliliters of water. Exceeding the specified amount kills the effect to zero. Muhammad and John the Baptist were right to use honey. Use an effective variety and know when to stop.

A relatively weak solution is effective against Helicobacter. Consume a ratio of 5-20% for gastritis - it will get rid of bacteria in the stomach. At a concentration of two and a half percent, the effect drops sharply. The studies were carried out in a test tube with the required concentration maintained in a simple way. If taken orally, the number will change. The dosage for an individual patient needs to be clarified.

Propolis

Our compatriots have discovered the effectiveness of propolis against Helicobacter. The substance has been used since ancient times. Antimicrobial properties confirmed in 1906. Chemical composition:

In 1948, Kivalkina proved the effectiveness of propolis against tuberculosis, typhoid, salmonellosis and other infections. In the treatment of gastritis and ulcers, solutions and alcohol extracts were not used.

Three strains of Helicobacter were studied at the Central Research Institute of Gastroenterology in Moscow. The mass fraction of propolis in the solution was determined by evaporation. Yeast extract and fetal bovine serum were used as a nutrient medium.

At a concentration of 0.08%, the growth of Helicobacter significantly decreased. The result was shown repeatedly to assess reliability. When the propolis concentration in the solution is more than 0.1%, bacterial growth does not occur.

Other medicines

Scientists are constantly trying to find a plant-based remedy to combat Helicobacter. Subject to research:

Increased activity in pomegranate juice and safflower extract. The activity of some drugs depends on the pH factor, temperature, and other conditions. The healing properties have been proven for chamomile, calamus rhizome, and aristolochia. Orange juice has a relatively weak effect and is used for prevention. Medicinal plants:

• Nile acacia (flowers, leaves).
• Calotropis tall (flowers, leaves).
• Justice is vascular.
• Arabian fagony.
• Casuarina horsetail (fruit).

The medicinal properties of herbs are known in the East: Israel, Pakistan, Malaysia. The action is primarily due to the inhibition of urease. As a result, the microbe does not decompose urea and forms a protective droplet around it from an alkaline environment. Killing gastric juices reach the bacteria, neutralizing them.

St. John's wort, which grows in Russia, has similar activity. The phenolic components contained in oregano (oregano) kill the microbe.

Ancient sources

Studies have shown that plants characterized in Ayurveda as capable of treating the gastrointestinal tract are effective against Helicobacter:

• Santi (ginger).
• Rasona (garlic).
• Kaladzhaji (nigella sativum).
• Campillaca (Mallotus philippines).
• Amraganji harirda (turmeric).
• Chitraka.

Restoring health is possible if you pay attention to the sources left by your ancestors. Natural ingredients can remove the microbe. After treatment with antibiotics, use plants for prevention. Doubts about soda - use it to make cakes!

Ancient sources provide methods for cleaning the stomach using sodium bicarbonate. One thing is good: unconventional methods are being confirmed. It is worth listening more to the voice of the ancients.

Helicobacter Pylori bacterium, what is it and how to treat it?

Helicobacter pylori is a unique pathogenic microorganism that is the causative agent of such a dangerous disease as helicobacteriosis. This is a pathology that often affects the stomach, but can also develop in the duodenum.

The bacterium received its name due to the environment in which it lives - the pyloric part of the stomach. The peculiarity of the microorganism is that it can resist even stomach acid. The bacterium has flagella, with the help of which it moves freely along the walls of the stomach or is securely attached to them.

Helicobacter Pylori can lead to the development of many gastrointestinal diseases, since, when multiplying, it causes irritation of its mucous membranes and, as a result, inflammatory processes. In this case, we are talking not only about gastritis or peptic ulcers, but also about the development of the oncological process. If you start treatment in a timely manner, you can prevent dangerous consequences that can be caused by the activity of this bacterium.

History of discovery

Spiral-shaped pathogenic microorganisms that live in the human stomach were described 100 years ago by Polish professor W. Jaworski. After some time, the scientist G. Bidzodzero discovered the same bacteria on the mucous membranes of the stomach of animals. For many years, people turned a blind eye to this infection, unaware of its danger, but in the late 70s of the last century, scientist Robert Warren noted that these bacteria live on the inflamed gastric mucosa.

As it turned out, the life activity of these microorganisms was studied, albeit not completely, and described by German scientists. However, in those days they did not attach much importance to this. Warren, joining forces with Barry Marshall, began conducting research to study in detail the characteristics of these bacteria. For a long period of time, it was not possible to isolate a culture of microorganisms, but scientists were still lucky. During the Easter holidays, laboratory staff accidentally left plates with bacterial cultures for 5 days rather than 2. Thanks to this incident, scientists recorded the growth of colonies of unknown microorganisms.

The bacteria were originally named Campylobacter pyloridis because their characteristics resembled microorganisms belonging to the genus Campylobacter. In 1983, scientists first published the results of their research. However, a little later, the researchers had to refute their previous discoveries, since it soon became clear that the discovered representatives of the pathogenic microflora were not related to the genus Campylobacter. Based on this, the discovered microorganisms were renamed Helicobacter pylori.

To prove the ability of the microorganism to cause gastrointestinal ulcers, B. Marshall ingested its culture in 1985. However, it was not an ulcer that developed, but gastritis, which went away on its own. Thanks to this experiment, the scientist was able to prove that the bacterium Helicobacter Pylori is the cause of the development of gastritis. In 2005, Warren and Marshall received the Nobel Prize in Medicine or Physiology for their sensational discovery.

Features of the bacterium

The first feature of this microorganism is its ability to withstand a very acidic gastric environment, while most bacteria and viruses simply die. Helicobacter pylori can adapt to the level of gastric acidity using 2 mechanisms:

1. When the bacteria enters the stomach, it begins to move through the mucous membranes. She does this with the help of her flagella. Hiding in the mucous membranes of the stomach, the microorganism protects their cells from excess acids. To put it simply, the bacterium “selects” the most optimal habitat for itself.
2. H. pylori causes the production of ammonia, which reduces stomach acid. Due to this, the microorganism can be conveniently located on the walls of the organ, remaining in its place for many years.

The second feature of the bacterium is its ability to cause inflammatory processes in the gastrointestinal tract. As it multiplies, it causes slow destruction of gastric cells, and the substances it secretes cause chronic inflammatory processes and gastritis. When the mucous membranes of the duodenum and stomach are weakened, ulcers and erosions begin to form, which increase the risk of developing cancer. For this reason, many gastroenterologists rightly consider Helicobacter Pylori to be a provocateur of oncological processes in the stomach.

You can get rid of the pathology only after taking a course of antibiotic therapy. With the help of antimicrobial drugs, the level of stomach acidity is regulated. Only a gastroenterologist can prescribe specific medications, after conducting the necessary examinations and referring the patient to additional instrumental diagnostic procedures.

How is H. pylori transmitted?

Infection with this bacterium can mainly be done in two ways – oral-fecal and oral-oral. However, there is an opinion that the microorganism can be transmitted from a cat to its owner, or when the infection is transmitted by flies. Young children are most susceptible to infection.

Transmission from one person to another occurs in 3 ways:

1. Iatrogenic when infection is caused by diagnostic procedures. Thus, infection can be acquired during endoscopy or other poorly sterilized medical instruments that have had direct contact with the patient’s gastric mucosa.
2. Fecal-oral. The bacterium is excreted along with the stool. You can become infected with the bacteria through contact with contaminated water or food.
3. Oral-oral. Gastroenterologists are confident that H. pylori also lives in the oral cavity. Therefore, the infection can be transmitted by kissing, using someone else's toothbrush or poorly washed cutlery.

Although Helicobacter Pylori is capable of causing histological gastritis in all infected people, signs of pathology appear in rare cases. Less often than gastritis, gastric ulcer develops, and extremely rarely, stomach cancer develops.

Symptoms of infection

After entering the stomach, the bacterium begins to actively secrete its waste products. They irritate the mucous membrane, resulting in inflammation. Clinical symptoms of Helicobacter Pylori depend on its form.

There are five of them, let’s look at each of them in more detail:

1. Latent or asymptomatic form, when an infected person does not experience any alarming symptoms, especially if his immunity is strong enough to resist Helicobacter. But even if the clinical picture does not manifest itself, the person is still a carrier and can infect others. If bacteria remain in the stomach for a long time, severe complications may occur, one of which is stomach cancer.
2. Acute gastritis is a disease manifested by epigastric pain, nausea, and loss of appetite. The disease can become chronic with periodic relapses.
3. Chronic gastritis. This pathology is one of the main manifestations of helicobacteriosis. During an exacerbation, the patient complains of stomach pain, attacks of nausea, sometimes with vomiting, headaches, loss of appetite. The patient suffers from heartburn, a feeling of bloating, belching, and attacks of flatulence. Nonspecific symptoms also occur in the form of bleeding gums and bad breath.
4. Chronic gastroduodenitis, when the pathological process affects the duodenum. The clinical picture resembles the symptoms of gastritis, but with gastroduodenitis, stool disorders, in particular constipation, are possible. The patient loses his appetite, complains of nausea, and has trouble sleeping. Changes in the mucous membranes are detected only during endoscopy. Lesions may be mild, moderate or severe.
5. PUD, which can also occur for other reasons (alcoholism, smoking, frequent stress, hazardous work, etc.). Erosions and ulcers form when the mucous membranes of the stomach are damaged more deeply. The pathology manifests itself with a large number of symptoms: pain in the stomach, nausea, the appearance of a white coating on the tongue, nausea, flatulence, vomiting, indigestion, heaviness in the epigastric region, heartburn, etc.

If we talk about non-gastric symptoms, then a patient with helicobacteriosis will experience the appearance of a subcutaneous or skin rash in the form of small white or pink pimples. As a rule, they are localized on the face. Often this disease causes the development of atopic dermatitis, psoriasis, eczema, lichen planus, and erythema.

The photo shows the symptoms of Helicobacter pylori: acne on the face.

Analysis for Helicobacter pylori

Diagnostics can be invasive (endoscopy followed by biopsy of gastric tissue) and non-invasive (laboratory tests). Of course, the most accurate and reliable method is the invasive method, because by collecting tissue from the gastric mucosa, a medical specialist carefully examines the biomaterial to detect foci of inflammation and the bacteria themselves. In addition to microscopic examination, the gastric tissue sample may be subjected to various laboratory tests.

All laboratory tests are aimed at identifying Helicobacter pylori and assessing its vital activity. During its life cycle, the microorganism breaks down gastric urea into ammonia, thus creating favorable living conditions for itself. If you place a piece of gastric mucosa infected with Helicobacter Pylori in urea, ammonia will be released. Due to this, the alkalinity level of the solution will increase, but these changes can only be detected using special test strips. Indicators operate on the principle of litmus paper.

But to identify the disease, it is not at all necessary to conduct an FGDS or a biopsy study - you can use another technique. The 13 urea test helps to detect the presence of infection absolutely painlessly and begin treatment immediately.

Possible complications

With timely initiation of therapy, dangerous consequences can be prevented. In addition, the risk of infecting other people will be completely eliminated.

If we talk about complications, they can manifest themselves through the development of:

• chronic or atrophying gastritis;
• JAB and DPC;
• stomach oncology;
• endocrine pathologies caused by atrophy of the epithelial lining of the stomach.

To avoid such consequences, self-medication is strictly not recommended. It is better to entrust this issue to a qualified gastroenterologist.

Treatment of Helicobacter pylori

Before starting treatment with Helicobacter Pylori, the degree of damage to the stomach and the contamination of its walls is assessed. The fact is that in some people, over time, these microorganisms become one of the varieties of opportunistic microflora, and therefore may not manifest themselves in any way.

If the bacterium does not harm the health of its carrier, manipulation to remove it is not carried out. But to cure the infection, you will need to use powerful antibacterial drugs. They, in turn, can significantly weaken the immune system and cause the development of intestinal dysbiosis.

Just a note. You cannot resort to using folk remedies to treat helicobacteriosis. The use of decoctions and infusions can only temporarily “lull” the symptoms of the disease, forcing the patient to postpone a visit to the doctor. In the meantime, the disease will only progress, which in the future can cause serious complications.

Therapeutic regimens

The treatment regimen for Helicobacter pylori requires an integrated medical approach. Usually the patient is prescribed 2 drugs, which are selected individually. Plus, one drug from the group of proton pump inhibitors is mandatory.

The duration of treatment is determined by the gastroenterologist after a thorough examination of the patient and assessment of the severity of the disease. The duration of the course of therapy is one day. After its completion, the doctor conducts repeated laboratory tests to confirm the patient’s complete recovery.

Antibiotics

Despite the fact that Helicobacter Pylori belongs to the group of pathogenic bacteria, not all antimicrobial drugs are able to destroy it.

The microorganism quickly develops resistance to antibacterial substances, which significantly complicates the healing process. Sometimes the doctor has to combine several medications at once in order to achieve positive dynamics; moreover, the acidic environment of the stomach can prevent the activation of drug components and slow down the therapy process.

Antibiotic therapy for Helicobacter pylori infection involves the use of the following drugs:

• Clarithromycin
• cephalosporin drugs;
• Azithromycin;
• Levofloxacin.

The drug Amoxicillin and its analogue Flemoxin Solutab have the highest effect in the treatment of inflammation of the mucous membranes of the stomach and ulcers formed on it. It is possible to use other antibacterial drugs - Augmentin and Amoxiclav. They contain clavulanic acid, which prevents the production of specific enzymes by microorganisms. This, in turn, prevents H. pylori from developing resistance.

Preparations of bismuth tripotassium dicitrate

Most often, the drug De-Nol, which contains the active substance tripotassium dicitrate, is used to treat diseases caused by helicobacteriosis. Due to this, there is a significant reduction in the production of biological compounds that promote the growth and reproduction of pathogenic microflora.

De-Nol's action is aimed at:

• disruption of cell membrane permeability;
• change in the membrane structure of cells.

During the chemical interaction of tripotassium dicitrate with protein compounds in the gastric mucosa, the formation of high-molecular complexes occurs. Thanks to this, a strong protective film is formed on the surface of ulcers and erosions, which prevents gastric juice from entering damaged areas of the gastric mucosa.

After completing the full course of therapy with De-Nol, the resistance of the gastrointestinal mucosa to pepsin and hydrochloric acid increases.

Proton pump blockers

To effectively and quickly get rid of Helicobacter Pylori, proton pump blockers are included in the treatment regimen. Due to the components included in their composition, complex biological processes are launched, which lead to a decrease in the production of hydrochloric acid by the stomach.

The most effective proton pump blockers (inhibitors) include the following drugs:

1. Omeprazole (Omez, Ultop).
2. Rabeprazole (analogues - Khairabezol, Bereta).
3. Pantoprazole (analogs - Controloc, Nolpaza).

When the acidity of the stomach decreases, the process of repairing damaged tissue begins. It creates unfavorable conditions for the proliferation of pathogenic microorganisms, and in particular H. pylori.

In addition, proton pump inhibitors significantly increase the effectiveness of antibiotics used to treat diseases caused by this bacterium. Taking this into account, gastroenterologists often reduce the dose of antimicrobial drugs. This has a beneficial effect on the state of the intestinal microflora and the general immunity of the patient.

Therapeutic diet

To normalize the functioning of the gastrointestinal tract throughout the course of treatment and after its completion, the patient must follow a special therapeutic diet. It implies the following rules:

1. Meals should be fractional, that is, you need to eat little, but often.
2. Exclude fried, fatty, spicy, spicy foods, baked goods and confectionery products.
3. Maintain drinking regime.
4. Avoid alcohol and low-alcohol drinks.
5. Eliminate marinades, pickles, carbonated water, fast foods and other junk foods from your diet.

It will not be easy to follow such a strict diet at first, but the patient must do it to take care of his health. Over time, he will get used to this diet and will not notice food restrictions.

Here is a sample menu for patients with Helicobacter Pylori:

1. Breakfast consists of oatmeal porridge, fresh cottage cheese pancakes and fruit compote.
2. For afternoon tea, you are allowed to eat cottage cheese soufflé and drink a cup of chamomile tea.
3. For lunch, you can eat chicken broth-based soup with lean meat, steamed fish cakes and stewed or fresh vegetables.
4. For the second afternoon snack - fruit or milk jelly with baked apples.
5. For dinner you can eat steamed turkey and boiled potatoes.
6. For a late dinner, you are allowed to consume kefir or a decoction of rose hips.

Dishes are selected individually, depending on the stage of the disease. The risk of exacerbations, as well as other factors, are also taken into account.

Prevention

To avoid infection, you must follow the simplest rules:

• wash your hands thoroughly before eating and after using the restroom;
• use only your own hygiene products and items (towels, toothbrushes, soap, etc.);
• completely cure gastrointestinal pathologies;
• give up bad habits;
• It is mandatory to undergo scheduled preventive medical examinations.

To consolidate the results of treatment and strengthen the immune system, the doctor will prescribe vitamin complexes, as well as medications that include microelements necessary for a person. But the patient himself must help his body get stronger after the illness by giving up alcohol and smoking, and reviewing his lifestyle.

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One comment

I was diagnosed with Helicobacter, and even before that I began to have pain in the right and left hypochondrium, heartburn, weakness, and severe headaches. Tell me, maybe all these symptoms are associated with Chylacobacteria and tell me the treatment, and what is a forceps biopsy on the HP helpel test sharply +

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Only a qualified doctor can treat diseases.

The bacterium Helicobacter pylori, when it enters the body, causes considerable discomfort to a person. As a result of infection, peptic ulcers or cancer develop. But many effective means have been developed that help defeat the harmful microorganism and return to your normal lifestyle in a relatively short time.

Causes and symptoms of infection

The bacterium Helicobacter pylori lives in the body of 70-80% of the population. Such a neighborhood in an inactive state may not cause any symptoms. But a cold, stress or poor nutrition provoke its awakening. Infection with the bacterium can occur due to dirty water or through contact with a sick person (kissing, shaking hands, eating food from the same dish). As a rule, if one person in a family is infected, the diagnosis of helicobacteriosis will be confirmed for everyone.

Symptoms of infection:

• nausea;
• vomit;
• diarrhea;
• heartburn;
• bleeding gums;
• decreased appetite.

If one or more symptoms occur, you should consult a doctor to determine a diagnosis.

Can it be cured forever?

Antibacterial drugs are used in a four-phase therapy system.

Modern treatment methods can help completely get rid of the Helicobacter pylori bacteria. For this, gastroenterologists have developed a four-phase therapy system, which involves influencing the strain through antibacterial drugs. But even in case of a successful outcome, a person is not immune from re-infection.

Treatment options

Helicobacteriosis involves complex therapy, including the use of antibacterial drugs and prebiotics. As well as treatment with folk remedies or homeopathy. The doctor's choice depends on the patient's age, the concentration of the bacterium and its resistance to antibiotics. In addition, during treatment you should follow a special diet.

Exposure to medications

Complete treatment for Helicobacter involves eradication therapy. The essence is to influence the pathogen with antibacterial drugs in 2 stages:

1. The patient takes 2 antibiotics and 1 drug to reduce the secretion of gastric juice.
2. The patient continues to drink the same medications in addition, including bismuth, to heal the peptic ulcer.

"Amoxicillin" ("Flemoxin")

Amoxicillin is used at any stage of the fight against harmful microorganisms.

A broad-spectrum antibiotic that is used at any stage of the fight against bacteria. The drug belongs to a number of penicillins. This drug kills harmful microorganisms, but along with it, agents are prescribed that prevent the division of microbes. Not used to treat patients with renal failure. Use with caution during pregnancy.

"Amoxiclav"

A two-component drug that successfully fights resistant strains of bacteria by affecting them with clavulanic acid. It absorbs enzymes that the bacterium secretes to resist penicillins, and the second active substance, amoxicillin, destroys the harmful microorganism. Despite all the positive properties, this drug causes serious dysbacteriosis. Therapy additionally involves taking prebiotics.

"Clarithromycin" ("Klacid")

Used in the first line of eradication therapy. Refers to macrolides that minimize the occurrence of adverse reactions. One of the most effective drugs to combat Helicobacter pylori. In addition, “Klatsid” combines well with drugs to reduce the secretory function of the stomach and enhances its effect. But it is prescribed with caution in cases of liver and kidney dysfunction.

Tetracycline is prescribed if therapy with other means is ineffective.

An antibiotic that is used in cases where therapy with previous drugs was not effective. It is characterized by a higher level of toxicity and, accordingly, the number of adverse reactions increases. The peculiarity of the drug is that it affects all cells, without selecting only pathogenic bacteria. It is not prescribed for the treatment of children and pregnant women. The drug has a detrimental effect on the liver and inhibits the growth of bones and teeth.

Thank you

Table of contents

1. What tests can a doctor prescribe for Helicobacter pylori?
2. Basic methods and treatment regimens for helicobacteriosis
   • Modern treatment of Helicobacter-associated diseases. What is the Helicobacter pylori eradication scheme?
   • How to kill Helicobacter pylori reliably and comfortably? What requirements are met by the standard modern treatment regimen for diseases such as Helicobacter pylori-associated gastritis and gastric and/or duodenal ulcers?
   • Is it possible to cure Helicobacter pylori if the first and second lines of eradication therapy are powerless? Bacterial sensitivity to antibiotics
3. Antibiotics are the number one drug for treating Helicobacter pylori
   • What antibiotics are prescribed for Helicobacter pylori infection?
   • Amoxiclav is an antibiotic that kills particularly persistent bacteria Helicobacter pylori
   • Azithromycin is a “spare” drug for Helicobacter pylori
   • How to kill Helicobacter pylori if the first line of eradication therapy has failed? Treatment of infection with tetracycline
   • Treatment with fluoroquinolone antibiotics: levofloxacin
4. Chemotherapy antibacterial drugs against Helicobacter pylori
5. Eradication therapy of Helicobacter pylori using bismuth preparations (De-nol)
6. Proton pump inhibitors (PPIs) as a cure for helicobacteriosis: Omez (omeprazole), Pariet (rabeprazole), etc.
7. What is the optimal treatment regimen for gastritis with Helicobacter pylori?
8. What complications can there be during and after treatment for Helicobacter pylori if a multicomponent course of eradication therapy with antibiotics is prescribed?
9. Is it possible to treat Helicobacter without antibiotics?
   • Bactistatin is a dietary supplement used as a remedy for Helicobacter pylori.
   • Homeopathy and Helicobacter pylori. Reviews from patients and doctors
10. Helicobacter pylori bacterium: treatment with propolis and other folk remedies
    • Propolis as an effective folk remedy for Helicobacter pylori
    • Treatment of Helicobacter pylori with antibiotics and folk remedies: reviews
11. Traditional recipes for treating Helicobacter pylori infection - video

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Which doctor should I contact if I have Helicobacter pylori?

If you have pain or discomfort in the stomach area, or if Helicobacter pylori is detected, you should contact Gastroenterologist (make an appointment) or to a pediatric gastroenterologist if the child is sick. If for some reason it is impossible to get an appointment with a gastroenterologist, then adults should contact therapist (make an appointment), and for children - to pediatrician (make an appointment).

What tests can a doctor prescribe for Helicobacter pylori?

In case of Helicobacteriosis, the doctor needs to assess the presence and quantity of Helicobacter pylori in the stomach, as well as assess the condition of the mucous membrane of the organ in order to prescribe adequate treatment. A number of methods are used for this, and in each specific case the doctor can prescribe any of them or a combination of them. Most often, the choice of research is made based on what methods the laboratory of a medical institution can perform or what paid tests a person can afford in a private laboratory.

As a rule, if helicobacteriosis is suspected, the doctor must prescribe an endoscopic examination - fibrogastroscopy (FGS) or fibrogastroesophagoduodenoscopy (FEGDS) (sign up), during which a specialist can assess the condition of the gastric mucosa, identify the presence of ulcers, bulges, redness, swelling, flattening of folds and cloudy mucus. However, endoscopic examination allows only to assess the condition of the mucosa, and does not give an exact answer to the question of whether Helicobacter pylori is present in the stomach.

Therefore, after an endoscopic examination, the doctor usually prescribes some other tests that make it possible to answer with a high degree of certainty the question of whether Helicobacter is present in the stomach. Depending on the technical capabilities of the institution, two groups of methods can be used to confirm the presence or absence of Helicobacter pylori - invasive or non-invasive. Invasive involves taking a piece of stomach tissue during endoscopy (sign up) for further tests, and for non-invasive tests, only blood, saliva or feces are taken. Accordingly, if an endoscopic examination was carried out and the institution has the technical capabilities, then to identify Helicobacter pylori, one of the following tests is prescribed:

• Bacteriological method. It is the inoculation of microorganisms on a nutrient medium found on a piece of the gastric mucosa taken during endoscopy. The method makes it possible to identify with 100% accuracy the presence or absence of Helicobacter pylori and determine its sensitivity to antibiotics, which makes it possible to prescribe the most effective treatment regimen.
• Phase contrast microscopy. It is the study of a whole unprocessed piece of the gastric mucosa, taken during endoscopy, under a phase-contrast microscope. However, this method allows you to detect Helicobacter pylori only when there are many of them.
• Histological method. It is the study of a prepared and stained piece of mucous membrane, taken during endoscopy, under a microscope. This method is highly accurate and allows you to detect Helicobacter pylori, even if they are present in small quantities. Moreover, the histological method is considered the “gold standard” in the diagnosis of Helicobacter pylori and allows one to determine the degree of contamination of the stomach with this microorganism. Therefore, if technically possible, after endoscopy to identify the microbe, the doctor prescribes this particular study.
• Immunohistochemical study. It is the detection of Helicobacter pylori in a piece of mucous membrane taken during endoscopy using the ELISA method. The method is very accurate, but, unfortunately, it requires highly qualified personnel and technical equipment of the laboratory, and therefore is not carried out in all institutions.
• Urease test (sign up). It involves immersing a piece of mucous membrane taken during endoscopy into a urea solution and then recording changes in the acidity of the solution. If within 24 hours the urea solution turns crimson, this indicates the presence of Helicobacter pylori in the stomach. Moreover, the rate of appearance of the crimson color also makes it possible to determine the degree of contamination of the stomach with bacteria.
• PCR (polymerase chain reaction), carried out directly on a collected piece of the gastric mucosa. This method is very accurate and also allows you to detect the number of Helicobacter pylori.
• Cytology. The essence of the method is that fingerprints are made from a taken piece of mucous membrane, stained according to Romanovsky-Giemsa, and examined under a microscope. Unfortunately, this method has low sensitivity, but is used quite often.

If an endoscopic examination was not carried out, or a piece of mucous membrane (biopsy) was not taken during it, then to determine whether a person has Helicobacter pylori, the doctor may prescribe any of the following tests:

• Urease breath test. This test is usually performed during an initial examination or after treatment, when it is necessary to determine whether Helicobacter pylori is present in a person’s stomach. It consists of taking samples of exhaled air and subsequent analysis of the carbon dioxide and ammonia content in them. First, baseline breath samples are taken, and then the person is given breakfast and labeled C13 or C14 carbon, followed by 4 more breath samples taken every 15 minutes. If in test air samples taken after breakfast, the amount of labeled carbon is increased by 5% or more compared to the background, then the test result is considered positive, which undoubtedly indicates the presence of Helicobacter pylori in the human stomach.
• Test for the presence of antibodies to Helicobacter pylori (sign up) in blood, saliva or gastric juice using ELISA. This method is used only when a person is examined for the first time for the presence of Helicobacter pylori in the stomach, and has not previously been treated for this microorganism. This test is not used to monitor treatment, since antibodies remain in the body for several years, while Helicobacter pylori itself is no longer present.
• Analysis of stool for the presence of Helicobacter pylori using PCR. This analysis is rarely used due to the lack of necessary technical capabilities, but it is quite accurate. It can be used both for the initial detection of Helicobacter pylori infection and for monitoring the effectiveness of therapy.

Typically, one test is selected and ordered and performed in a medical facility.

How to treat Helicobacter pylori. Basic methods and treatment regimens for helicobacteriosis

Modern treatment of Helicobacter-associated diseases. What is the Helicobacter pylori eradication scheme?

After the discovery of the leading role of bacteria Helicobacter pylori In the development of diseases such as gastritis type B and peptic ulcer of the stomach and duodenum, a new era in the treatment of these diseases began.

New treatment methods have been developed based on the removal of Helicobacter pylori from the body by ingesting combinations of medications (the so-called eradication therapy ).

The standard Helicobacter pylori eradication regimen necessarily includes drugs that have a direct antibacterial effect (antibiotics, chemotherapeutic antibacterial drugs), as well as drugs that reduce the secretion of gastric juice and thus create an unfavorable environment for bacteria.

Should Helicobacter pylori be treated? Indications for the use of eradication therapy for helicobacteriosis

Not all carriers of Helicobacter pylori develop pathological processes associated with Helicobacter pylori. Therefore, in each specific case of detection of Helicobacter pylori in a patient, consultation with a gastroenterologist, and often with other specialists, is necessary to determine medical tactics and strategy.

However, the global community of gastroenterologists has developed clear standards regulating cases when eradication therapy for Helicobacter pylori disease using special regimens is absolutely necessary.

Regimens with antibacterial drugs are prescribed for the following pathological conditions:

• peptic ulcer of the stomach and/or duodenum;
• condition after gastric resection for stomach cancer;
• gastritis with atrophy of the gastric mucosa (precancerous condition);
• stomach cancer in close relatives;

In addition, the world council of gastroenterologists strongly recommends eradication therapy for Helicobacter pylori for the following diseases:

• functional dyspepsia;
• gastroesophageal reflux (a pathology characterized by the reflux of stomach contents into the esophagus);
• diseases requiring long-term treatment with non-steroidal anti-inflammatory drugs.

How to kill Helicobacter pylori reliably and comfortably? What requirements are met by the standard modern treatment regimen for diseases such as Helicobacter pylori-associated gastritis and gastric and/or duodenal ulcers?

Modern Helicobacter pylori eradication schemes satisfy the following requirements:

1. High efficiency (as clinical data show, modern eradication therapy regimens provide at least 80% of cases of complete elimination of helicobacteriosis);
2. Safety for patients (regimens are not allowed into general medical practice if more than 15% of subjects experience any adverse side effects of treatment);
3. Convenience for patients:

• the shortest possible course of treatment (today, regimens involving a two-week course are allowed, but 10 and 7-day courses of eradication therapy are generally accepted);
• reducing the number of medications taken due to the use of medications with a longer half-life of the active substance from the human body.

4. Initial alternativeness of Helicobacter pylori eradication regimens (you can replace the “inappropriate” antibiotic or chemotherapy drug within the chosen regimen).

First and second line of eradication therapy. Three-component regimen for the treatment of Helicobacter pylori with antibiotics and quadruple therapy for Helicobacter (4-component regimen)

Today, the so-called first and second lines of eradication therapy for Helicobacter pylori have been developed. They were adopted during consensus conferences with the participation of leading gastroenterologists of the world.

The first such global consultation of doctors on the fight against Helicobacter pylori was held in the city of Maastricht at the end of the last century. Since then, several similar conferences have taken place, all of which were called Maastricht, although the last meetings took place in Florence.

World luminaries have come to the conclusion that none of the eradication schemes provides a 100% guarantee of getting rid of helicobacteriosis. Therefore, it has been proposed to formulate several “lines” of regimens, so that a patient treated with one of the first-line regimens can turn to second-line regimens in case of failure.

First line schemes consist of three components: two antibacterial substances and a drug from the group of so-called proton pump inhibitors, which reduce the secretion of gastric juice. In this case, the antisecretory drug, if necessary, can be replaced with a bismuth drug, which has a bactericidal, anti-inflammatory and cauterizing effect.

Second line circuits They are also called Helicobacter quadrotherapy because they consist of four drugs: two antibacterial medications, an antisecretory substance from the group of proton pump inhibitors and a bismuth drug.

Is it possible to cure Helicobacter pylori if the first and second lines of eradication therapy are powerless? Bacterial sensitivity to antibiotics

In cases where the first and second lines of eradication therapy are powerless, as a rule, we are talking about a strain of Helicobacter pylori that is particularly resistant to antibacterial drugs.

To destroy the harmful bacterium, doctors conduct a preliminary diagnosis of the strain's sensitivity to antibiotics. To do this, during fibrogastroduodenoscopy, a culture of Helicobacter pylori is taken and sown on nutrient media, determining the ability of various antibacterial substances to suppress the growth of colonies of pathogenic bacteria.

The patient is then prescribed third line eradication therapy , the regimen of which includes individually selected antibacterial drugs.

It should be noted that increasing resistance of Helicobacter pylori to antibiotics is one of the main problems of modern gastroenterology. Every year, more and more new eradication therapy regimens are tested, designed to destroy particularly resistant strains.

Antibiotics are the number one drug for treating Helicobacter pylori

What antibiotics are prescribed for Helicobacter pylori infection to treat: amoxicillin (Flemoxin), clarithromycin, etc.

Back in the late eighties, the sensitivity of Helicobacter pylori bacterial cultures to antibiotics was studied, and it turned out that in vitro colonies of the causative agent of Helicobacter-associated gastritis can be easily destroyed using 21 antibacterial agents.

However, these data have not been confirmed in clinical practice. So, for example, the antibiotic erythromycin, which is highly effective in a laboratory experiment, turned out to be absolutely powerless to expel Helicobacter from the human body.

It turned out that an acidic environment completely deactivates many antibiotics. In addition, some antibacterial agents are not able to penetrate the deep layers of mucus, where most Helicobacter pylori bacteria live.

So the choice of antibiotics that can cope with Helicobacter pylori is not so great. Today the most popular medications are the following:

• amoxicillin (Flemoxin);
• clarithromycin;
• azithromycin;
• tetracycline;
• Levofloxacin.

Amoxicillin (Flemoxin) - tablets for Helicobacter pylori

The broad-spectrum antibiotic amoxicillin is included in many first- and second-line Helicobacter pylori eradication therapy regimens.

Amoxicillin (another popular name for this medication is Flemoxin) belongs to the semi-synthetic penicillins, that is, it is a distant relative of the first antibiotic invented by mankind.

This drug has a bactericidal effect (kills bacteria), but acts exclusively on reproducing microorganisms, so it is not prescribed together with bacteriostatic agents that inhibit the active division of microbes.

Like most penicillin antibiotics, amoxicillin has a relatively small number of contraindications. The drug is not prescribed for hypersensitivity to penicillins, as well as for patients with infectious mononucleosis and a tendency to leukemoid reactions.

Amoxicillin is used with caution during pregnancy, renal failure, and also when there are indications of previous antibiotic-associated colitis.

Amoxiclav is an antibiotic that kills particularly persistent bacteria Helicobacter pylori

Amoxiclav is a combination drug consisting of two active ingredients - amoxicillin and clavulanic acid, which ensures the effectiveness of the drug against penicillin-resistant strains of microorganisms.

The fact is that penicillins are the oldest group of antibiotics, which many strains of bacteria have already learned to fight by producing special enzymes - beta-lactamases, which destroy the core of the penicillin molecule.

Clavulanic acid is a beta-lactam and takes the hit of beta-lactamases from penicillin-resistant bacteria. As a result, enzymes that destroy penicillin are bound, and free amoxicillin molecules destroy bacteria.

Contraindications for taking Amoxiclav are the same as for amoxicillin. However, it should be noted that Amoxiclav more often causes serious dysbiosis than regular amoxicillin.

Antibiotic clarithromycin (Klacid) as a remedy against Helicobacter pylori

The antibiotic clarithromycin is one of the most popular drugs used against the bacterium Helicobacter pylori. It is used in many first-line eradication therapy regimens.

Clarithromycin (Klacid) belongs to the erythromycin group of antibiotics, which are also called macrolides. These are broad-spectrum bactericidal antibiotics with low toxicity. Thus, taking second-generation macrolides, which include clarithromycin, causes adverse side effects in only 2% of patients.

The most common side effects are nausea, vomiting, diarrhea, less often - stomatitis (inflammation of the oral mucosa) and gingivitis (inflammation of the gums), and even less often - cholestasis (stagnation of bile).

Clarithromycin is one of the most powerful drugs used against the bacterium Helicobacter pylori. Resistance to this antibiotic is relatively rare.

The second very attractive quality of Klacid is its synergism with antisecretory drugs from the group of proton pump inhibitors, which are also included in eradication therapy regimens. Thus, clarithromycin and antisecretory drugs prescribed together mutually enhance each other’s actions, promoting the rapid expulsion of Helicobacter from the body.

Clarithromycin is contraindicated in case of increased individual sensitivity to macrolides. This drug is used with caution in infancy (up to 6 months), in pregnant women (especially in the first trimester), with renal and liver failure.

The antibiotic azithromycin is a “spare” drug for Helicobacter pylori

Azithromycin is a third generation macrolide. This drug causes unpleasant side effects even less frequently than clarithromycin (in only 0.7% of cases), but is inferior to its named groupmate in effectiveness against Helicobacter pylori.

However, azithromycin is prescribed as an alternative to clarithromycin in cases where the use of the latter is prevented by side effects, such as diarrhea.

The advantages of azithromycin over Klacid are also increased concentration in gastric and intestinal juice, which promotes targeted antibacterial action, and ease of administration (only once a day).

How to kill Helicobacter pylori if the first line of eradication therapy has failed? Treatment of infection with tetracycline

The antibiotic tetracycline has relatively greater toxicity, so it is prescribed in cases where the first line of eradication therapy has failed.

This is a broad-spectrum bacteriostatic antibiotic, which is the founder of the group of the same name (tetracycline group).

The toxicity of drugs from the tetracycline group is largely due to the fact that their molecules are not selective and affect not only pathogenic bacteria, but also the reproducing cells of the macroorganism.

In particular, tetracycline can inhibit hematopoiesis, causing anemia, leukopenia (decreased number of white blood cells) and thrombocytopenia (decreased number of platelets), disrupt spermatogenesis and cell division of epithelial membranes, contributing to the occurrence of erosions and ulcers in the digestive tract, and dermatitis on the skin.

In addition, tetracycline often has a toxic effect on the liver and disrupts protein synthesis in the body. In children, antibiotics of this group cause impaired growth of bones and teeth, as well as neurological disorders.

Therefore, tetracyclines are not prescribed to small patients under 8 years of age, as well as to pregnant women (the drug crosses the placenta).

Tetracycline is also contraindicated in patients with leukopenia, and pathologies such as renal or liver failure, gastric and/or duodenal ulcers require special caution when prescribing the drug.

Treatment of Helicobacter pylori bacteria with fluoroquinolone antibiotics: levofloxacin

Levofloxacin belongs to fluoroquinolones - the newest group of antibiotics. As a rule, this drug is used only in second- and third-line regimens, that is, in patients who have already undergone one or two fruitless attempts to eradicate Helicobacter pylori.

Like all fluoroquinolones, levofloxacin is a broad-spectrum bactericidal antibiotic. Limitations on the use of fluoroquinolones in Helicobacter pylori eradication regimens are associated with the increased toxicity of drugs in this group.

Levofloxacin is not prescribed to minors (under 18 years of age) as it can negatively affect the growth of bone and cartilage tissue. In addition, the drug is contraindicated in pregnant and lactating women, patients with severe damage to the central nervous system (epilepsy), as well as in cases of individual intolerance to drugs in this group.

Nitroimidazoles, when they are prescribed in short courses (up to 1 month), extremely rarely have a toxic effect on the body. However, when taking them, unpleasant side effects may occur, such as allergic reactions (itchy skin rash) and dyspeptic disorders (nausea, vomiting, loss of appetite, metallic taste in the mouth).

It should be borne in mind that metronidazole, like all drugs from the nitroimidazoles group, is not compatible with alcohol (causes severe reactions when taking alcohol) and turns the urine a bright red-brown color.

Metronidazole is not prescribed in the first trimester of pregnancy, as well as in case of individual intolerance to the drug.

Historically, metronidazole was the first antibacterial agent to be successfully used in the fight against Helicobacter pylori. Barry Marshall, who discovered the existence of Helicobacter pylori, conducted a successful experiment on himself with Helicobacter pylori infection, and then cured type B gastritis that developed as a result of the research with a two-component regimen of bismuth and metronidazole.

However, today an increase in the resistance of the bacterium Helicobacter pylori to metronidazole is being recorded all over the world. Thus, clinical studies conducted in France showed resistance of Helicobacteriosis to this drug in 60% of patients.

Treatment of Helicobacter pylori with Macmiror (nifuratel)

Macmiror (nifuratel) is an antibacterial drug from the group of nitrofuran derivatives. Medicines in this group have both bacteriostatic (bind nucleic acids and prevent the proliferation of microorganisms) and bactericidal effects (inhibit vital biochemical reactions in the microbial cell).

When taken for a short time, nitrofurans, including Macmiror, do not have a toxic effect on the body. Side effects rarely include allergic reactions and dyspepsia of the gastralgic type (stomach pain, heartburn, nausea, vomiting). It is characteristic that nitrofurans, unlike other anti-infective substances, do not weaken, but rather strengthen the body’s immune response.

The only contraindication to the use of Macmiror is increased individual sensitivity to the drug, which is rare. Macmiror crosses the placenta, so it is prescribed to pregnant women with great caution.

If there is a need to take Macmiror during lactation, you must temporarily stop breastfeeding (the drug passes into breast milk).

As a rule, Macmiror is prescribed in second-line Helicobacter pylori eradication therapy regimens (that is, after an unsuccessful first attempt to get rid of Helicobacter pylori). Unlike metronidazole, Macmiror is characterized by higher efficiency, since Helicobacter pylori has not yet developed resistance to this drug.

Clinical data show high efficacy and low toxicity of the drug in four-component regimens (proton pump inhibitor + bismuth drug + amoxicillin + Macmiror) in the treatment of helicobacteriosis in children. So many experts recommend prescribing this drug to children and adults in first-line regimens, replacing metronidazole with Macmiror.

Eradication therapy of Helicobacter pylori using bismuth preparations (De-nol)

The active ingredient of the medical anti-ulcer drug De-nol is bismuth tripotassium dicitrate, which is also called colloidal bismuth subcitrate, or simply bismuth subcitrate.

Bismuth preparations were used in the treatment of gastrointestinal ulcers even before the discovery of Helicobacter pylori. The fact is that when De-nol gets into the acidic environment of the gastric contents, it forms a kind of protective film on the damaged surfaces of the stomach and duodenum, which prevents aggressive factors from the gastric contents.

In addition, De-nol stimulates the formation of protective mucus and bicarbonates, which reduce the acidity of gastric juice, and also promotes the accumulation of special epidermal growth factors in the damaged mucosa. As a result, under the influence of bismuth preparations, erosions quickly epithelialize, and the ulcers undergo scarring.

After the discovery of Helicobacter pylori, it turned out that bismuth preparations, including De-nol, have the ability to inhibit the growth of Helicobacter pylori, having both a direct bactericidal effect and transforming the habitat of bacteria in such a way that Helicobacter pylori is removed from the digestive tract.

It should be noted that De-nol, unlike other bismuth preparations (such as, for example, bismuth subnitrate and bismuth subsalicylate), is able to dissolve in gastric mucus and penetrate into the deep layers - the habitat of most Helicobacter pylori bacteria. In this case, bismuth gets inside microbial bodies and accumulates there, destroying their outer shells.

The drug De-nol, in cases where it is prescribed in short courses, does not have a systemic effect on the body, since most of the drug is not absorbed into the blood, but transits through the intestines.

So the only contraindications to prescribing De-nol are increased individual sensitivity to the drug. In addition, De-nol should not be taken during pregnancy, lactation and in patients with severe kidney damage.

The fact is that a small part of the drug that enters the blood can pass through the placenta and into breast milk. The drug is excreted by the kidneys, so serious violations of the excretory function of the kidneys can lead to the accumulation of bismuth in the body and the development of transient encephalopathy.

How to reliably get rid of the bacterium Helicobacter pylori? Proton pump inhibitors (PPIs) as a cure for helicobacteriosis: Omez (omeprazole), Pariet (rabeprazole), etc.

Medicines from the group of proton pump inhibitors (PPIs, proton pump inhibitors) are traditionally included in both first- and second-line Helicobacter pylori eradication therapy regimens.

The mechanism of action of all drugs in this group is the selective blockade of the activity of the parietal cells of the stomach, which produce gastric juice containing such aggressive factors as hydrochloric acid and proteolytic (protein-dissolving) enzymes.

Thanks to the use of drugs such as Omez and Pariet, the secretion of gastric juice is reduced, which, on the one hand, sharply worsens the living conditions for Helicobacter pylori and promotes the eradication of bacteria, and, on the other hand, eliminates the aggressive effect of gastric juice on the damaged surface and leads to rapid epithelization of ulcers and erosions. In addition, reducing the acidity of gastric contents allows one to maintain the activity of acid-sensitive antibiotics.

It should be noted that the active ingredients of drugs from the PPI group are acid-labile, so they are produced in special capsules that dissolve only in the intestines. Of course, for the medicine to work, the capsules must be consumed whole, without chewing.

Absorption of the active ingredients of drugs such as Omez and Pariet occurs in the intestines. Once in the blood, PPIs accumulate in the parietal cells of the stomach in fairly high concentrations. So their therapeutic effect lasts for a long time.

All drugs from the PPI group have a selective effect, so unpleasant side effects are rare and, as a rule, consist of headache, dizziness, and the development of signs of dyspepsia (nausea, intestinal dysfunction).

Medicines from the group of proton pump inhibitors are not prescribed during pregnancy and lactation, as well as in cases of increased individual sensitivity to drugs.

Children (under 12 years of age) are a contraindication to the use of Omez. As for the drug Pariet, the instructions do not recommend using this drug in children. Meanwhile, there is clinical data from leading Russian gastroenterologists indicating good results in the treatment of helicobacteriosis in children under 10 years of age with regimens including Pariet.

What is the optimal treatment regimen for gastritis with Helicobacter pylori? This is the first time this bacteria has been found in me (the test for Helicobacter is positive), I have been suffering from gastritis for a long time. I read the forum, there are a lot of positive reviews about treatment with De-nol, but the doctor did not prescribe this drug for me. Instead, he prescribed amoxicillin, clarithromycin and Omez. The price is impressive. Can the bacteria be removed with less medication?

The doctor prescribed you a regimen that is considered optimal today. The effectiveness of combining a proton pump inhibitor (Omez) with the antibiotics amoxicillin and clarithromycin reaches 90-95%.

Modern medicine is categorically against the use of monotherapy (that is, therapy with only one drug) for the treatment of Helicobacter-associated gastritis due to the low effectiveness of such regimens.

For example, clinical studies have shown that monotherapy with the same drug De-nol can achieve complete eradication of Helicobacter in only 30% of patients.

What complications can there be during and after treatment for Helicobacter pylori if a multicomponent course of eradication therapy with antibiotics is prescribed?

The appearance of unpleasant side effects during and after a course of eradication therapy with antibiotics depends on many factors, primarily on such as:

• individual sensitivity of the body to certain drugs;
• presence of concomitant diseases;
• the state of the intestinal microflora at the time of the start of anti-Helicobacter therapy.

The most common side effects and complications of eradication therapy are the following pathological conditions:
1. Allergic reactions to the active ingredients of medications included in the eradication regimen. Such side effects appear in the very first days of treatment and completely disappear after discontinuation of the drug that caused the allergy.
2. Gastrointestinal dyspepsia, which may consist in the appearance of such unpleasant symptoms as nausea, vomiting, an unpleasant taste of bitterness or metal in the mouth, stool upset, flatulence, a feeling of discomfort in the stomach and intestines, etc. In cases where the described signs are not very pronounced, doctors advise to be patient, since after a few days the condition may return to normal on its own with continued treatment. If signs of gastrointestinal dyspepsia continue to bother the patient, corrective medications (antiemetics, antidiarrheals) are prescribed. In severe cases (vomiting and diarrhea that cannot be corrected), the eradication course is canceled. This happens infrequently (in 5-8% of cases of dyspepsia).
3. Dysbacteriosis. An imbalance of intestinal microflora most often develops when macrolides (clarithromycin, azithromycin) and tetracycline are prescribed, which have the most detrimental effect on E. coli. It should be noted that many experts believe that relatively short courses of antibiotic therapy, which are prescribed during the eradication of Helicobacter pylori, are not able to seriously disrupt the bacterial balance. Therefore, the appearance of signs of dysbiosis is more likely to be expected in patients with initial dysfunction of the stomach and intestines (concomitant enterocolitis, etc.). To prevent such complications, doctors advise, after eradication therapy, to undergo a course of treatment with bacterial preparations or simply consume more lactic acid products (bio-kefir, yoghurts, etc.).

Is it possible to treat Helicobacter without antibiotics?

How to cure Helicobacter pylori without antibiotics?

It is possible to do without Helicobacter pylori eradication schemes, which necessarily include antibiotics and other antibacterial substances, only in cases of low contamination of Helicobacter pylori, in cases where there are no clinical signs of Helicobacter pylori-related pathology (type B gastritis, gastric and duodenal ulcers, iron deficiency anemia , atopic dermatitis, etc.).

Since eradication therapy represents a serious burden on the body and often causes adverse side effects in the form of dysbiosis, patients with asymptomatic carriage of Helicobacter are advised to choose “lighter” drugs, the action of which is aimed at normalizing the gastrointestinal microflora and strengthening the immune system.

Bactistatin is a dietary supplement used as a remedy for Helicobacter pylori.

Bactistatin is a dietary supplement intended to normalize the state of the microflora of the gastrointestinal tract.

In addition, the components of bactistatin activate the immune system, improve digestive processes and normalize intestinal motility.

Contraindications to the prescription of bactistatin are pregnancy, breastfeeding, as well as individual intolerance to the components of the drug.

The course of treatment is 2-3 weeks.

Homeopathy and Helicobacter pylori. Reviews from patients and doctors about treatment with homeopathic medicines

There are many positive patient reviews online about the treatment of Helicobacter pylori with homeopathy, which, unlike scientific medicine, considers Helicobacter pylori not an infectious process, but a disease of the whole body.

Homeopathy specialists are convinced that the general improvement of the body with the help of homeopathic remedies should lead to the restoration of the microflora of the gastrointestinal tract and the successful elimination of Helicobacter pylori.

Official medicine, as a rule, is without prejudice towards homeopathic medicines in cases where they are prescribed according to indications.

The fact is that with asymptomatic carriage of Helicobacter pylori, the choice of treatment method remains with the patient. As clinical experience shows, in many patients Helicobacter pylori is an accidental finding and does not manifest itself in any way in the body.

Here the opinions of doctors were divided. Some doctors argue that Helicobacter should be removed from the body at any cost, since it poses a risk of developing many diseases (pathology of the stomach and duodenum, atherosclerosis, autoimmune diseases, allergic skin lesions, intestinal dysbiosis). Other experts are confident that in a healthy body, Helicobacter pylori can live for years and decades without causing any harm.

Therefore, turning to homeopathy in cases where there are no indications for prescribing eradication regimens is completely justified from the point of view of official medicine.

Symptoms, diagnosis, treatment and prevention of Helicobacter pylori - video

Helicobacter pylori bacterium: treatment with propolis and other folk remedies

Propolis as an effective folk remedy for Helicobacter pylori

Clinical studies of the treatment of stomach and duodenal ulcers using alcohol solutions of propolis and other bee products were carried out even before the discovery of Helicobacter pylori. At the same time, very encouraging results were obtained: patients who, in addition to conventional antiulcer therapy, received honey and alcoholic propolis, felt significantly better.

After the discovery of Helicobacter pylori, additional research was carried out on the bactericidal properties of bee products against Helicobacter pylori and a technology for preparing an aqueous tincture of propolis was developed.

The Geriatric Center conducted clinical trials of the use of an aqueous solution of propolis for the treatment of helicobacteriosis in elderly people. Patients took 100 ml of an aqueous solution of propolis as eradication therapy for two weeks, while in 57% of patients complete healing from Helicobacter pylori was achieved, and in the remaining patients there was a significant decrease in the prevalence of Helicobacter pylori.

Scientists have concluded that multicomponent antibiotic therapy can be replaced by taking propolis tincture in such cases as:

• elderly age of the patient;
• presence of contraindications to the use of antibiotics;
• proven resistance of the Helicobacter pylori strain to antibiotics;
• low contamination with Helicobacter pylori.

Is it possible to use flax seed as a folk remedy for Helicobacter?

Traditional medicine has long used flax seed for acute and chronic inflammatory processes in the gastrointestinal tract. The basic principle of the effect of flax seed preparations on the affected surfaces of the mucous membranes of the digestive tract consists of the following effects:
1. Enveloping (formation of a film on the inflamed surface of the stomach and/or intestines that protects the damaged mucosa from the effects of aggressive components of gastric and intestinal juice);
2. Anti-inflammatory;
3. Anesthetic;
4. Antisecretory (reduced secretion of gastric juice).

However, flax seed preparations do not have a bactericidal effect, and therefore are not able to destroy Helicobacter pylori. They can be considered as a kind of symptomatic therapy (treatment aimed at reducing the severity of signs of pathology), which in itself is not capable of eliminating the disease.

It should be noted that flax seed has a pronounced choleretic effect, therefore this folk remedy is contraindicated for calculous cholecystitis (inflammation of the gallbladder, accompanied by the formation of gallstones) and many other diseases of the biliary tract.

I have gastritis, Helicobacter pylori was discovered. I took treatment at home (De-nol), but without success, although I read positive reviews about this drug. I decided to try folk remedies. Will garlic help against helicobacteriosis?

Garlic is contraindicated for gastritis, as it will irritate the inflamed gastric mucosa. In addition, the bactericidal properties of garlic will clearly not be enough to destroy helicobacteriosis.

You should not experiment on yourself; contact a specialist who will prescribe an effective Helicobacter pylori eradication regimen that suits you.

Treatment of Helicobacter pylori with antibiotics and folk remedies: reviews (materials taken from various forums on the Internet)

There are many positive reviews online about the treatment of Helicobacter pylori with antibiotics; patients talk about healed ulcers, normalization of stomach function, and improvement in the general condition of the body. At the same time, there is evidence of the lack of effect of antibiotic therapy.

It should be noted that many patients ask each other to provide an “effective and harmless” treatment regimen for Helicobacter. Meanwhile, such treatment is prescribed individually, taking into account the following factors:

• the presence and severity of pathology associated with Helicobacter pylori;
• degree of contamination of the gastric mucosa with Helicobacter pylori;
• treatment previously taken for helicobacteriosis;
• general condition of the body (age, presence of concomitant diseases).

So a regimen that is ideal for one patient can bring nothing but harm to another. In addition, many “effective” schemes contain gross errors (most likely due to the fact that they have been circulating on the network for a long time and have undergone additional “refinement”).

We did not find any evidence of terrible complications of antibiotic therapy, with which patients for some reason constantly scare each other (“antibiotics are only a last resort”).

As for reviews of the treatment of Helicobacter pylori with folk remedies, there is evidence of successful treatment of Helicobacter with the help of propolis (in some cases we are even talking about the success of “family” treatment).

At the same time, some so-called “grandmother’s” recipes are striking in their illiteracy. For example, for gastritis associated with Helicobacter pylori, it is advised to take blackcurrant juice on an empty stomach, and this is a direct road to a stomach ulcer.

In general, from a study of reviews of the treatment of Helicobacter pylori with antibiotics and folk remedies, the following conclusions can be drawn:
1. The choice of treatment method for Helicobacter pylori should be made in consultation with a gastroenterologist, who will make the correct diagnosis and, if necessary, prescribe a suitable treatment regimen;
2. Under no circumstances should you use “health recipes” from the Internet - they contain many gross errors.

Traditional recipes for treating Helicobacter pylori infection - video

A little more about how to successfully cure helicobacteriosis. Diet for the treatment of Helicobacter pylori

The diet for the treatment of Helicobacter pylori is prescribed depending on the severity of the symptoms of diseases caused by the bacterium, such as type B gastritis, gastric and duodenal ulcers.

In case of asymptomatic carriage, it is enough to simply follow the correct diet, refusing to overeat and foods harmful to the stomach (smoked food, fried “crust”, spicy and salty foods, etc.).

For peptic ulcers and type B gastritis, a strict diet is prescribed; all dishes that have the properties of increasing the secretion of gastric juice, such as meat, fish and strong vegetable broths, are completely excluded from the diet.

It is necessary to switch to fractional meals 5 or more times a day in small portions. All food is served in semi-liquid form - boiled and steamed. At the same time, limit the consumption of table salt and easily digestible carbohydrates (sugar, jam).

Whole milk (with good tolerance, up to 5 glasses a day), mucous milk soups with oatmeal, semolina or buckwheat help very well to get rid of stomach ulcers and gastritis type B. The lack of vitamins is compensated for by the introduction of bran (a tablespoon per day - taken after steaming with boiling water).

For the speedy healing of defects in the mucous membrane, proteins are needed, so you need to eat soft-boiled eggs, Dutch cheese, non-acidic cottage cheese and kefir. You should not give up eating meat - meat and fish soufflés and cutlets are recommended. The missing calories are supplemented with butter.

In the future, the diet is gradually expanded, including boiled meat and fish, lean ham, non-acidic sour cream and yogurt. The side dishes are also varied - boiled potatoes, porridge and noodles are included.

As ulcers and erosions heal, the diet approaches table No. 15 (the so-called recovery diet). However, even in the late recovery period, you should avoid smoked meats, fried foods, seasonings, and canned foods for quite a long time. It is very important to completely eliminate smoking, alcohol, coffee, and carbonated drinks.

Before use, you should consult a specialist.

Helicobacter pylori is a bacterium that lives in the stomach. It gets there through dirty food or unwashed hands.

It’s scary to imagine that almost 2/3 of the world’s population is infected with the bacterium. What’s even worse is that Helicobacter provokes the development of stomach ulcers and cancer.

An effective method of treatment that doctors talk about is. However, they are prescribed only after testing and at a certain “concentration” of bacteria in the stomach.

If tests show you have Helicobacter in low concentrations, change your diet. Add foods that kill bacteria to it and protect your body from deadly diseases.

For those who have been prescribed antibiotics, the listed products will help in the fight against harmful bacteria.

Cowberry

In order to combat Helicobacter pylori, lingonberries can be consumed in the form of berries or drunk as juice. This drink should not contain sugar or additives.

Broccoli

Broccoli contains isothiocyanates, which kill Helicobacter pylori. Cook it steamed or at low temperature - then the vegetable will benefit.

Sauerkraut contains the same substance.

Garlic

Garlic, like onions, is called a natural antibiotic. Their specific odor is due to the content of thiosulfines, which kill harmful bacteria in the body.

Green tea

Ginger

Ginger comprehensively fights bacteria. It simultaneously kills harmful Helicobacter, protects mucus in the stomach, reduces inflammation and prevents the proliferation of bacteria.

Oranges

Add tangerines, lemons, kiwis and grapefruits to the oranges. All citrus fruits are rich in vitamin C. Studies have shown that people whose diet included foods with ascorbic acid were less susceptible to infection with the bacterium. This is easy to explain - vitamin C is contained in the stomach mucus, which destroys the organ from inflammation and prevents Helicobacter from provoking the development of ulcers and cancer.

Turmeric

Probiotics

A 2012 study showed that increasing good bacteria in the body helps fight Helicobacter pylori.

Olive oil

The uniqueness of olive oil is that it kills 8 strains of Helicobacter pylori, 3 of which are resistant to antibiotics. Add it to salads and any dishes that do not require heat treatment.

Licorice root

It helps not only cure cough, but also fight harmful bacteria. The product prevents Helicobacter from attaching to the walls of the stomach.

Licorice root syrup can be bought at any pharmacy and taken for preventive purposes.

The listed products will help both treat and prevent Helicobacter pylori. Do not replace them with medications prescribed by your doctor. Use everything together to quickly get rid of harmful bacteria.