Manhattan Gastroenterology
  • MIDTOWN 51 EAST 25TH, 4 FL New York, NY, 10010
  • UPPER EAST SIDE 983 PARK AVE, STE 1D New York, NY, 10028
  • UNION SQUARE 55 W. 17TH ST STE 102 New York, NY, 10011

A Helicobacter pylori (H. pylori) infection affects approximately 40% of Americans. Though the infection is usually asymptomatic, it can affect your stomach lining and cause peptic ulcers or gastritis. At Manhattan Gastroenterology, with three locations in New York City, highly trained doctors diagnose and treat H. pylori infections to resolve your gastrointestinal symptoms and improve your quality of life.

What is H. Pylori?

H. pylori or Helicobacter Pylori (most commonly referred to as “H. pylori”) is a medical condition isolated to the upper gastrointestinal tract and diagnosed by our gastroenterologists. It is the most common chronic stomach bacteria infection in humans. By some estimates, it may be present in up to one-half of the world’s population. The estimated prevalence is up to 70% in developing countries and 30­ – 40% in the United States and other developed countries.

What Are Symptoms Of H. Pylori Infection?

Stomach Ulcer - H.Pylori

In most individuals, the bacteria will be without symptoms and not lead to any long-term health effects. The bacteria is found in the stomach and can sometimes cause pain in the upper abdomen, bloating, and nausea in some patients. H.Pylori can lead to the formation of ulcers in the stomach or the duodenum (the first part of the small intestine) or even to stomach cancer in certain individuals. It is, however, uncommon to develop stomach cancer as a result of H.pylori infection, but it is a concern being that so many people are infected with it worldwide. Experts don’t know why some individuals have no symptoms while others can have many problems because of this chronic infection.



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How Is H. Pylori Spread?

H. Pylori typically spreads through the consumption of food or water contaminated with fecal matter. Contaminated water supplies in developing countries may account for the higher prevalence of this infection in those countries. After exposure, H. Pylori can then infect the stomach lining and release enzymes and toxins that can inflame and injure the cells lining the stomach or duodenum. In the US, infection is uncommon during childhood and becomes more common as adults, whereas most children are affected at a young age in developing countries.

What Tests Are Available For Diagnosis?

A trained doctor should manage the diagnosis and disease treatment. In general, individuals should be tested for h.pylori if they have or have had ulcers in the stomach or duodenum. H. Pylori symptoms can have many symptoms, including ulcer disease, upper abdominal pain, bloating nausea. There are, however, many other causes of ulcers, particularly patients taking non­steroidal anti-­inflammatory medications. Further, patients with these symptoms may need further testing in addition to evaluation for h. pylori. Sometimes patients with a family history of stomach cancer are tested for h. pylori as well.

H. pylori or Helicobacter Pylori

H. Pylori typically spreads through the consumption of food or water contaminated with fecal matter. Contaminated water supplies in developing countries may account for the higher prevalence of this infection in those countries. After exposure, H. Pylori can then infect the stomach lining and release enzymes and toxins that can inflame and injure the cells lining the stomach or duodenum. In the US, infection is uncommon during childhood and becomes more common as adults, whereas most children are affected at a young age in developing countries.

We usually prescribe antibiotic regimens after one is diagnosed with h.pylori. Several different regimens are approved and effective. Patients must make sure to take the entire regimen. If we find bacteria, we should treat it because that will help ulcers heal, decrease recurrence rates, and decrease more rare long-term consequences of h.pylori. Treatment for H. Pylori gastritis is generally effective, but it may fail for 20% of people. These patients can use different antibiotic regimens as prescribed by their doctor. In addition, you should do a breath test or stool test to document the cure after treatment.

There are many tests to diagnose h. pylori.

Noninvasive testing includes:

Invasive testing such as upper endoscopy may be needed, and we can take biopsies to evaluate for the presence of h. pylori. Please see your gastroenterologist for evaluations of symptoms and formulation of an effective treatment plan.

What Is The Treatment For H. Pylori?

We usually prescribe antibiotic regimens after one is diagnosed with h.pylori. Several different regimens are approved and effective. Patients must make sure to take the entire regimen. If we find bacteria, we should treat it because that will help ulcers heal and decrease recurrence rates and more rare long-term consequences of h.pylori.

How Does One Know The Bacteria Is Killed?

Eradication testing, including the urea breath test, the biopsy-based test, and the stool antigen test, should be performed to ensure that the bacteria were killed. For better diagnostic accuracy, we recommend that you get tested 30 days after finishing your therapy. Because clearance or suppression of H. pylori may occur during treatment, failing to identify H. pylori on tests done within four weeks after finishing your antibiotic regimen may be a false-negative result. This is due to clearance or suppression typically being followed by the recurrence of the original infection.

What Can Be Done If The Bacteria Does Not Get Killed?

Treatment for H. Pylori gastritis is generally effective, but it may fail for 20% of people. These patients can use different antibiotic regimens as prescribed by their doctor. An effective treatment plan, in this case, should include two therapies that, when used together, achieve a cure rate of nearly 100%. Because retreatment with the same regimen is not recommended, second-line treatment is based on which treatment method was used initially.

Doctor’s Note:​ The only intent of this information is to provide general information about H. pylori, not definitive medical advice. Please consult our doctors about your specific condition for a conclusive diagnosis. Only trained, experienced H. pylori specialists like ours can determine an accurate H. pylori diagnosis and proper treatment.

Our specialists provide highly personalized and comprehensive care as best-in-class H. Pylori doctors in Upper East Side. For more information about H. pylori or to schedule a consultation, please contact our NYC gastroenterology offices.

Updated on Oct 22, 2021 by Dr. Shawn Khodadadian (Gastroenterologist) of Manhattan Gastroenterology Manhattan Gastroenterology Locations: Manhattan Gastroenterology (Upper East Side) 983 Park Ave Ste 1D, NY 10028
(212) 427-8761
Manhattan Gastroenterology (Midtown) 51 East 25th Street Ste 407, NY 10010
(212) 533-2400
Manhattan Gastroenterology (Union Square) 55 W 17th St Ste 102, NY 10011
(212) 378-9983

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The information on this website is to provide general information. The information on this website does NOT reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a physician for a consultation and examination regarding ANY and ALL symptoms or signs as they may signify a serious illness or condition. An accurate diagnosis and treatment plan should only be made by qualified doctor in order to exclude a serious condition.