Positive antibodies to H. pylori urease.

  Patient: Not found at May 07 physical, got this year’s physical yesterday and found it there. I don’t know. I hope to tell you what the effect of this is?  The First Affiliated Hospital of Guangzhou Medical College, Department of Gastroenterology, Chen Xueqing: H. pylori antibodies are positive today, check whether it is IgG or IgM? To determine if you have H. pylori infection in your stomach, there are two options: one is to do a 13 or 14C urease breath test, or a rapid urease test with a gastroscopy of the stomach tissue (some places can do a fecal H. pylori antigen test as well). If it is positive, you have H. pylori infection in your stomach. If there are no symptoms, it is not necessary to treat. If you have symptoms and there is a high incidence of gastric disease in your family, H. pylori eradication therapy is recommended. Due to drug abuse, the eradication rate of current treatments is significantly lower, therefore, a urease breath test should be performed 1 month after the eradication to determine if there is complete eradication. The first hospital of Guangzhou Medical University, Department of Gastroenterology Chen Xueqing patient: report today just put at home, go back to see whether the check is IgG or IgM, if it is to check IgM it? At present, there is no symptom, but infected with bacteria always want to catch the bug off, go to the hospital gastroenterology for further treatment? Is this a disease? Is it treatable?  Patient: Positive, which means you have H. pylori infection in your stomach. Or will it persist if not treated?  Patient: Dr. Chen, hello, I read the reports of other colleagues, I can’t see whether it is IgG or IgM! The way to further determine the diagnosis I have already talked about in the previous, you can do a breath test… No symptoms can be treated, using the Chinese population, the infection rate is greater than 50%… If you are sure of the diagnosis and need treatment, you can go to the gastroenterology clinic to prescribe drugs for radical treatment (proton pump + 1-2 antibiotics +/- bismuth agent)… And as you said, this bacterial infection can also be infected a second time, but there are a few people who can not be cured… If H. pylori is present in the stomach, it can cause chronic gastritis, a small number of people will develop peptic ulcers, and rarely, it can increase the incidence of stomach cancer… For you, don’t worry too much because there are no symptoms. Let’s do a breath test first.