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欧洲幽门螺杆菌治疗共识 5

H Pylori Gastritis Questions / Dental Hygiene

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Posts: 5
Joined: Wed Jul 21, 2021 6:24 pm

Re: H Pylori Gastritis Questions / Dental Hygiene

Post by Entryplug »

Helico_expert wrote:
Fri Sep 27, 2019 9:06 am
Sometimes, it just need some time to heal. It could take up to weeks, months, or years. It depends on the severity of the damage done. You have to understand that usually people catch this bug during childhood. So you have already been infected with this bug for decades. During this long infection, some damages can be permanent. especially when you are above 40.

How accurate is the tests?
You mentioned that you have done stool and breath test and both showed negative. I think the chance of getting a false negative is low. I agree with your doctor that 10 days without PPI or antibiotics is probably good enough. However, it is better to get a score of the result. How negative is your negative result? if 50 is the cut off value, a score of 1 is a negative, but a score of 49 is also negative. But I would be suspicious to see a score of 49. Then what is the cut off for positive? If a score above 200 is positive, and you get a 49, I think that's ok. A test with a "grey" zone is much accurate than those without.

Should you do another endoscopy for histology?
I assume your previous endoscopy report is ok. no abnormality. if so, then you dont need one until next year or longer. If you have some abnormality, eg.. ulcer or intestinal metaplasia or atrophic gastritis or polyps, then you probably need an annual or more frequent endoscopy check depending on the severity.
Thanks for the tips. I have the same symptoms, and I needed tests, but my doctor told me that I might have this bacteria. The doctor informed me that patients with poor dental hygiene have a higher prevalence of H pylori in dental plaque and the stomach. This finding suggests that the oral cavity may be a reservoir for H pylori and potentially a source of transmission or reinfection. I was a little shocked when he said that it is possible to have it since childhood. Although now I felt good, I still hope that I will feel better after the treatment.

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