H. pylori positive, if there are no symptoms, you can not do gastroscopy first, if there are digestive symptoms or a family history of gastric disease, it is recommended to do gastroscopy can be faster detection of gastric disease. H. pylori positive, if there is no any gastrointestinal symptoms, you can not do gastroscopy first, under the guidance of the physician to give anti-H. pylori treatment, can be used in the quadruple method that is a proton pump inhibitor such as omeprazole + a bismuth such as bismuth pectin + two antibiotics such as amoxicillin, clarithromycin for eradication of the treatment. If there are obvious gastrointestinal symptoms such as acid reflux, nausea, vomiting, black stools, belching (burping), bloating, etc., it is recommended to undergo gastroscopy at the earliest possible time to find out if there is any gastric disease such as gastric ulcer or duodenal ulcer. If there is a family history of gastric disease with positive Helicobacter pylori, gastroscopy is recommended to find out if there is any gastric disease. If you are positive for H. pylori, it is recommended that you have a prompt face-to-face consultation and follow your doctor’s instructions.