Children can also be infected with H. pylori. There are three main ways of transmission of H. pylori, oral-oral transmission, fecal-oral transmission, and gastric-oral transmission, which means that if a parent has H. pylori infection, the chances of the child contracting H. pylori will be greatly increased, but not all children infected with H. pylori have symptoms of performance. Only some children have gastritis due to certain triggers, such as eating too spicy or irritating food, and then the infected H. pylori may become active and show symptoms such as epigastric distention, belching, and acid reflux. At this time, parents should take their children to the hospital and give eradication treatment to relieve the symptoms. If the child does not have any symptoms of H. pylori infection, eradication treatment may not be necessary.