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Hello doctor! I have belching, heartburn, bloating, no pain. Gastroscopy resulted in mucosal conjunctivitis, moderate and positive for HP, no ulcers were found. Please ask the doctor the case, Gastric mucosal conjunctivitis and HP positive should be treated with antibiotics? Thank you.
Nguyen Tuyen Huyen (1984)
Reply
Hello! Gastritis is a fairly common disease in Vietnam. Symptoms are often insidious, even in many people with almost no symptoms. Some typical symptoms of the disease are epigastric pain, bloating, indigestion, nausea, belching, heartburn, abdominal pain that is seasonal or seasonal in nature.
Helicobacter pylori is known to be a type of bacteria that lives and grows in the stomach organs. This type of bacteria can enter the human body through many different ways, living and growing in the human stomach. Due to the characteristics of HP bacteria have the ability to secrete an enzyme called Urease capable of neutralizing acid in the stomach, Accordingly, HP causes stomach ulcers in 2 ways:
They secrete an enzyme that destroys stomach acid. destroys the protective mucus layer of the stomach lining, thereby creating conditions for stomach acid to attack the mucosa, causing local damage. Secretion of toxins causes degeneration and necrosis of gastric cells, causing gastric acid to penetrate strongly, causing gastric erosion and ulcers. Your case has been colonoscopy and is diagnosed with gastritis caused by HP, it should be treated to eradicate HP with antibiotics according to the treatment regimen. You should go to the Department of Gastroenterology - a hospital of Vinmec Health System for doctors to advise and monitor your current health condition.
Thank you for trusting and sharing the question "Stomach mucosal congestion and HP positive should be treated with antibiotics?" to Vinmec. Wish you always healthy.
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Answered by Master, Doctor Ta Que Phuong - Gastroenterologist - Endoscopy - Department of General Internal Medicine - Vinmec Times City International Hospital
