Test and treat for Helicobacter pylori in dyspepsia

Public Health England

Helicobacter pylori (H. pylori) is usually acquired in childhood, often remaining in the stomach until it is treated with antibiotics. H. pylori causes gastric or duodenal ulcers in 15% of people infected with it, but these ulcers can bleed or perforate if left unchecked. It is, therefore, important to know how to test for H. Pylori to differentiate it from more common causes of indigestion, and to treat confirmed cases appropriately.

This Guidelines summary provides a simple, economical, and empirical approach to H. pylori testing and treatment, while minimising the risk of antibiotic resistance.

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