h.pylori warning | Arthritis Information

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If anyone's out there with stomach issues and taking daily doses of proton pump inhibitors or antacids, please get yourself checked for h.pylori.  You can get DIY tests on the internet for very little money. H.pylori is a bacteria that lives in your stomach and creates problems like excess acid and ulcers.    It has been proven to be the cause of ulcers.
Treatment is with antibiotics and lasts one or two weeks, depending on your doctor and his favourite method (in the States I believe the 2 week method is the norm).    Your stomach will - ultimately - thank you for it.
Though taking the antibiotics can make you feel a bit queazy, but its only for a short time.
Anna
Just for the record, h.pylori bacteria is not the only cause of ulcers...


What causes Stomach Ulcers?

The direct cause of peptic ulcers is the destruction of the gastric or intestinal mucosal lining of the stomach by hydrochloric acid, an acid normally present in the digestive juices of the stomach. Infection with the bacterium Helicobacter pylori is thought to play an important role in causing both gastric and duodenal ulcers. Helicobacter pylori may be transmitted from person to person through contaminated food and water. Antibiotics are the most effective treatment for Helicobacter pylori peptic ulcers.

Injury of the gastric mucosal lining, and weakening of the mucous defenses are also responsible for gastric ulcers. Excess secretion of hydrochloric acid, genetic predisposition, and psychological stress are important contributing factors in the formation and worsening of duodenal ulcers.

Another major cause of ulcers is the chronic use of anti-inflammatory medications, such as aspirin. Cigarette smoking is also an important cause of ulcer formation and ulcer treatment failure.

http://www.mamashealth.com/stomach.asp

http://www.emedicinehealth.com/peptic_ulcers/page2_em.htm

http://www.medicinenet.com/peptic_ulcer/article.htm


LynnLynn4939369.5533449074

If you have symptoms of a stomach ulcer, the first thing a gastro will do is test you for h. pylori.  That has been standard here for at least a decade.  If you are negative, they will look at lifestyle issues.  If you are positive, they will treat you with antibiotics.  There is no question; that is Standard of Care now.

Suzanne,  I've posted the warning because I was treated with antacids for over a year before I got tested for h.pylori.  Also, I know of two people who have been on antacids for two years whose docs have never even suggested the test.     A lot of docs, apparently, in the uk, still dont routinely check for h.pylori even though the test is easy and cheap.  Anna Been there done all that had the antibiotics, cleared it up thank God, but have to be checked regularly as I have so many problems now with GERD from all the antiinflammatories!  (Gastrooesophageal reflux disease).  Thanks for the info though,  regards Janie. Yep, I had some bad stomach issues a few years back.  I was really hoping it was h. pylori (because it's easy to treat), but the culture came back negative.  "Chemical gastritis", from too much coffee, NSAIDs and crap food.


I have a gastroscopy every two years and I am always tested for h pylori.  I take proton pump inhibitors and have GERD and a hiatus hernia and did have ulcers from aspirin years ago.  H pylori can cause stomach cancer,  that is what you really have to be careful of.  It is something that is so easy to fix but can do so much harm if left untreated.

http://www.cancer.org/docroot/CRI/content/CRI_2_4_2X_What_ar e_the_risk_factors_for_stomach_cancer_40.asp

When H. pylori was first identified as the major cause of peptic ulcers, it was found in 90% of people with duodenal ulcers and in about 80% of people with gastric ulcers. As more people are being tested and treated for the bacteria, however, the rate of H. pylori- associated ulcers has declined. For example, a 2001 study suggested that about half of ulcers are not caused by H. pylori . Instead, they tend to be caused by regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), which include aspirin and other common pain relievers. Genetic factors or, rarely, Crohn's disease or Zollinger-Ellison syndrome, also cause ulcers.

Some researchers now believe that duodenal ulcers are not caused by H. pylori , but that the presence of the bacteria simply delays healing. This fact, they say, may explain why up to half of cases of acute duodenal perforation show no evidence of H. pylori , and why duodenal ulcers can recur even after H. pylori has been eradicated.

A 2006 study published in the Journal of Biological Chemistry indicates that a protein called decay-accelerating factor (DAF) acts as receptor for H. pylori . Animal studies show that blocking this interaction renders H. pylori harmless to the stomach. Researchers hope the discovery leads to new drugs that can reduce the risk of peptic ulcer.

http://www.umm.edu/patiented/articles/what_causes_peptic_ulc ers_000019_2.htmYes, NSAIDS are known to burn a hole in your stomach; ped rheums regularly rx antacids for children on them.

But I had h. pylori; it is not just a stomach thing. Actually, the severe stomach pain came last. I was very sick for a long time, and looked it, too. My skin, my hair. I thought it was stress. I wasn't a smoker or on any meds, only one cup of coffee in the a.m.

The Urgent Care dr. who sent me to a gastro remembered me when I went back nearly a year later for something else - that's how bad off I was! He said asked how it worked out with the ulcers. I said, "I can't believe you remember that!" He was like, 'Well, yeah...'    

It makes sense to me that there are less cases of h. pylori now, since they can find it and cure you. Less to spread around, maybe?

But please, don't tell yourself it is just too much coffee, etc., if you are really suffering long term and antacids don't help. It is a simple blood test to find out and be cured. Suzanne,

Bang on girl!  Whatever the doc thinks may be causing stomach issues, what harm could there possibly be in testing for h.pylori with a simple blood test.    Something that costs US or £10 UK and could make someone's life a lot happier.... who cares if the odd test comes back negative!

Anna

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