Hp Bacteria Really Dangerous?

Helicobacter pylori (Hp) is a bacteria that mainly lives in the stomach. The proportion of people infected with Hp worldwide is about 50%, in some developing countries, this rate is higher, while in Vietnam this rate is 70-80%.
Most people infected with Hp have no symptoms and never cause stomach damage, so the infected person and Hp can live peacefully for life. However, a small number of cases of Hp can cause gastritis, gastro-duodenal ulcers and a smaller percentage of stomach cancers. Although Hp is the main culprit causing stomach cancer, only a small percentage of people infected with Hp have cancer

. Until now, science has not been able to explain why some people infected with Hp get sick, while others infected are completely normal.
Hp infection route
Fecal-oral route: Hp enters the body through contaminated food or drink, and after excretion enters the stomach through stool. When we eat food and / or drink water contaminated with waste containing Hp strains, we become infected
This explains why the rate of Hp infection in developing countries is much higher than in developed countries: it is due to inadequate waste management and treatment, and the problem of farming does not follow safety standards.



food.
Oral-oral: some people think that Hp exists in saliva, and therefore it can be spread by droplets from person to person. However, this has not been ascertained.
In developed countries, the infection is most common after adolescence. In developing countries, the infection is usually before 10 years of age.
Symptoms of Hp infection
Most people infected with Hp have no symptoms. In a few billion, Hp causes stomach damage like ulcers or cancer and then the person will have a number of symptoms with varying degrees:
Pain or discomfort in the epigastrium
Abdominal bloating
Eat fast
Anorexia
Vomiting or nausea
Black bowel stools caused by bleeding in a stomach ulcer or duodenum or from a stomach tumor
From Hp infection to stomach cancer, it usually takes a long time Therefore, the rate of gastric cancer due to Hp infection will be more common in developing countries and at younger ages than in developed countries due to the earlier age of infection.




Hp infection leads to abdominal pain and nausea
Tests to diagnose Hp infection
Tests that do not require gastroscopy:
Breathing test: this is a fairly simple and accurate method. Patients need to stop antibiotics 4 weeks and stop taking stomach pills tablets 2 weeks before the test
Stool test: Look for the protein of Hp in the stool. This test is expensive, so it is usually indicated for children <4 years of age because the breathing test is not available. Hp tests through gastroscopy: all tests must take a small piece (about 1mm) in the stomach lining Clo-test: fast results, within 30 minutes, low price Anatomy of the disease: results later, usually after a few days Culture: accurately determine the presence of Hp. However, Hp culture is quite complicated; if it is not preserved well, Hp will die while transported to the culture room. Therefore, this test only works if Hp cannot be used with all regimens, and antibiotic testing is needed to find an appropriate antibiotic to kill it. High price. Those who need a test to look for HP Only those with the above symptoms need a Hp test People in family history who have stomach cancer: parents, siblings People with gastric disease who have treated to kill Hp, need to check after treatment to see if Hp is still dead or all People who have to take anti-inflammatory drugs or aspirin for a long time.



Apart from the above subjects, Hp testing is not necessary because most people infected with Hp do not need treatment
Hp treatment
Only cure Hp for symptomatic patients, have stomach damage caused by Hp.
Cases of Hp infection have no symptoms, no stomach damage, no need to treat Hp
Removal of Hp is not indicated, there is a risk of increasing the rate of antibiotic resistance making it difficult to kill it. In addition, antibiotics that kill Hp can simultaneously kill the beneficial bacteria in the gut and cause symptoms of absorption disorders such as diarrhea, bloating or abdominal boil.
Therefore, it is the doctor who decides which patients need to have a test for Hp and which patients need treatment to kill Hp.
Specifically, specify Hp removal.

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