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Is Positive H.Pylori Test With No Stomach Ulcers A Serious Cause For Concern?

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Posted on Mon, 16 Mar 2015
Question: Hello.

I am 63 years old. In good health. Recently, I experienced a little above the belly discomfort and had some ultra sound exams done that only indicates cloudy/acid in abdomen area and the everything else is all well. I had a blood test for H-Pylori and came back positive. I was told most people are like that and since there are no ulcers anywhere not to worry, and not to bother with the triple treatment. Should I worry?
YYYY@YYYY
doctor
Answered by Dr. Prakash H Muddegowda (20 minutes later)
Brief Answer:
Without ulcer, no effect of H.pylori

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:

1. Yes, Without ulcers, not to worry about being positive for H.pylori.
2. It is positive normally in many people and without an ulcer, it has no effect.
3. Have good hydration and take food at regular intervals. Avoid spicy diet and stress.
4. No need to start on antibiotics for now.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prakash H Muddegowda (1 hour later)
Thanks Dr. Feeling better already.

One more question, if Ulcer exists, does it show on an ultra sound and where? Should I continue taking Nexuim 20 or should I switch to Nixuim 40?
doctor
Answered by Dr. Prakash H Muddegowda (5 hours later)
Brief Answer:
Nexium 20 should be adequate

Detailed Answer:
Hi,
Thanks for asking again.

Nexium 20 should be adequate.

Ultrasound would not demonstrate any ulcers. If there is major injury, it might show. Only endoscopy can demonstrate even small ulcers or erosions.

Hope it helps.
Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion and rate the answer.

Dr. Prakash HM
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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Is Positive H.Pylori Test With No Stomach Ulcers A Serious Cause For Concern?

Brief Answer: Without ulcer, no effect of H.pylori Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. Yes, Without ulcers, not to worry about being positive for H.pylori. 2. It is positive normally in many people and without an ulcer, it has no effect. 3. Have good hydration and take food at regular intervals. Avoid spicy diet and stress. 4. No need to start on antibiotics for now. Hope it helps. Any further queries, happy to help again. Dr. Prakash HM