H Pylori Specialist Doctor NYC
H. pylori or Helicobacter Pylori Helicobacter pylori (most commonly referred to as “H. pylori”) is a medical condition diagnosed by the NYC gastroenterologist, Dr. Shawn Khodadadian, that is isolated to the upper gastrointestinal tract. Helicobacter Pylori, also known as H. Pylori is a very common infection worldwide. In fact, 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 worlds population. The estimated prevalence being up to 70% in developing countries and 30 – 40% in the United States and other developed countries. In most individuals, the bacteria will be without symptoms and not lead to any long term health affects. 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 theduodenum(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 results of H.pylori infection but it is a concern being that so many people are infected with it worldwide. It is not known why some individuals have no symptoms while others can have many problems because of this chronic infection.
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 include ulcer disease, upper abdominal pain, bloating nausea and dark stools. There are however, many other causes of ulcers, particularly patients taking nonsteroidal antiinflammatory 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 is probably spread by consuming food or water contaminated with fecal matter. Contaminated water supplies in developing countries may account for some of the higher prevalence of this infection in those countries. After exposure, H. Pylori can then infect the lining of the stomach and release enzymes and toxins that can inflammation and injure the cells linking the stomach or duodenum. In the US, infection is uncommon during childhood and becomes more common as an adult whereas in developing countries, most children are affected at a young age.
After one is diagnosed with h.pylori, the treatment usually includes a combination of two antibiotics in addition to medication that reduces acidity in the stomach for a period of 10-14 days. Utilizing multiple antibiotic reduces the risk of treatment failure and antibiotic resistance. There are several different regimens that are approved and effective. It is important that patients make sure to take the entire regimen.
If the bacteria is found, it should be treated because that will help ulcers heal, decrease recurrence rates and may decrease more rare long term consequences of h.pylori.
Treatment for H. Pylori gastritis is generally effective but there are some individuals who are not cured from therapy. Up to 20 percent of patients, may not be cured with a first course of treatment. In these patient, a different antibiotic regimen may be used. In addition, a breath test or stool tests should be done to document cure after treatment.
There are many tests to diagnose h. pylori. Noninvasive testing include:
- blood tests
- breath tests
- stool samples
Invasive testing such as endoscopy may be needed and biopsies can be taken to evaluate for the presence of h. pylori.
Doctor’s Note: This information is only intended to provide general information pertaining to H. pylori, not definitive medical advice. Please consult the NYC H. pylori specialist Dr. Shawn
Khodadadian about your specific condition for a conclusive diagnosis. Only a trained, experienced gastroenterologist like Dr. Khodadadian can determine an accurate H. pylori diagnosis and proper treatment.
As a best in class NYC gastroenterologist, Dr. Shawn Khodadadian provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in NYC.
For more information about H. pylori or to schedule a consultation, please contact our NYC gastroenterology office.