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Suggest Precautionary Measures When Diagnosed With H.pylori Infection
Question: My son in law is 37 years old and diagnosed with hpylori and Barrett's disease. I just want a diet and info to help him be more informed. Hi is being seen by his doc.
Any information you can share will be helpful. Is hpylori contagious and what foods need not be eaten and foods that can be eaten. A diet for both diseases.
Any information you can share will be helpful. Is hpylori contagious and what foods need not be eaten and foods that can be eaten. A diet for both diseases.
Brief Answer:
Hello and welcome to HealthcareMagic
Detailed Answer:
Diet to be followed is similar to the one followed for Gastroesophageal Reflux Disease (GERD):
Patients should avoid the following:
Fried or fatty foods
Chocolate
Peppermint
Alcohol
Coffee
Carbonated beverages
Citrus fruits or juices
Tomato sauce
Ketchup
Mustard
Vinegar
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)
Patients also should decrease the size of portions at mealtime, avoid eating 3 hours prior to bedtime, elevate the head of the bed 6 inches, lose weight (if overweight), and stop smoking.
According to the literature, H. pylori and Barrett's can be treated in the following manner:
Optimal first-line regimens in this country consist of a PPI in combination with antibiotics like Clarithromycin and either Amoxicillin or Metronidazole (triple therapy) for at least 7 , but preferably 10, days. Because the most effective second-line regimens contain Metronidazole, it is advisable to use Amoxicillin instead of Metronidazole as first-line therapy in order to optimize results should subsequent therapy be required.
If first-line regimens fail to eliminate H. pylori, patients should receive quadruple therapy consisting of a PPI, bismuth subsalicylate, metronidazole, and tetracycline for 14 days.
Due to the availability and accuracy of noninvasive diagnostic tests for H. pylori, it is recommended that successful cure be confirmed after intervention. But medication intervention and state of the art is up to the treating physician as treatment recommendations for major illnesses change frequently. Although you should note that there is no specific diet for H.pylori.
Good luck! XXXXXXX Shattler, MS,RDN
Hello and welcome to HealthcareMagic
Detailed Answer:
Diet to be followed is similar to the one followed for Gastroesophageal Reflux Disease (GERD):
Patients should avoid the following:
Fried or fatty foods
Chocolate
Peppermint
Alcohol
Coffee
Carbonated beverages
Citrus fruits or juices
Tomato sauce
Ketchup
Mustard
Vinegar
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)
Patients also should decrease the size of portions at mealtime, avoid eating 3 hours prior to bedtime, elevate the head of the bed 6 inches, lose weight (if overweight), and stop smoking.
According to the literature, H. pylori and Barrett's can be treated in the following manner:
Optimal first-line regimens in this country consist of a PPI in combination with antibiotics like Clarithromycin and either Amoxicillin or Metronidazole (triple therapy) for at least 7 , but preferably 10, days. Because the most effective second-line regimens contain Metronidazole, it is advisable to use Amoxicillin instead of Metronidazole as first-line therapy in order to optimize results should subsequent therapy be required.
If first-line regimens fail to eliminate H. pylori, patients should receive quadruple therapy consisting of a PPI, bismuth subsalicylate, metronidazole, and tetracycline for 14 days.
Due to the availability and accuracy of noninvasive diagnostic tests for H. pylori, it is recommended that successful cure be confirmed after intervention. But medication intervention and state of the art is up to the treating physician as treatment recommendations for major illnesses change frequently. Although you should note that there is no specific diet for H.pylori.
Good luck! XXXXXXX Shattler, MS,RDN
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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