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Helicobacter
pylori and gastric diseases
Helicobacter pylori is a spiral-shaped micro-organism that
infects the human stomach promoting a local inflammatory reaction. This
infection is affecting more than 50% of the world population and is normally
acquired in early childhood.
The infection can be asymptomatic for many years, but people infected
have an increased risk of developing gastritis, gastric ulcers or other
gastrointestinal problems. The vast majority of ulcers are attributable
to H.pylori bacteria, and there is now evidence that certain types of
stomach cancer are also linked to it.
Typical symptoms are heartburn and abdominal pain, which can often be
temporarily relieved by acid blockers.
A
specific treatment is available
As most infectious diseases, there are specific therapies
for eliminating the infection.
These are combining two antibiotics and an additional medicine that neutralizes
stomach acid, to be taken for 1-2 weeks. Since a re-infection is very
unlikely, a successful treatment will provide a complete and permanent
recovery. It is very important to verify the effectiveness of the therapy,
because in some cases it fails, due to bacterial antibiotic resistance,
and a second different regimen is required.
The
diagnosis can be simple
If an endoscopy is
clinically indicated, the infection can be diagnosed from biopsies taken
from the stomach mucosa.
Two non-invasive tests have been used for several years.
Specific antibodies can be detected
in a blood specimen, but this test does not tell if the patient is currently
infected or had the infection in the past.
The second test is called Urea Breath Test (UBT) and is highly
accurate. This test confirms the presence of Helicobacter pylori by detecting
the presence of an enzyme produced by the bacteria. The patient, fasting,
must ingest a special compound and collect a breath sample, which is then
analyzed in a laboratory.
More recently, Meridian Bioscience developed a very simple and
accurate test (HpSA, Helicobacter pylori Stool Antigen) able to
diagnose the infection from a faecal specimen. The patient needs to collect
a small amount of stool at home, into an empty container, without any
need for fasting. The specimen will then be delivered to a laboratory
for the analysis. The HpSA can be used for diagnosing the infection and
for the therapy follow-up.
Ask
your Doctor
If you suffer from gastrointestinal symptoms, consult your
Doctor, which will prescribe you the suitable diagnostic tests and therapies.
If you wish to get more information on the HpSA test and where it can
be performed, contact us.
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