Helicobacter pylori (H. pylori) bacteria
are a common cause of digestive illnesses, including gastritis (the irritation
and inflammation of the stomach lining), peptic
ulcers(sores in the lining of the stomach, small intestine, or esophagus),
and even stomach cancer later in life.
These bacteria are found worldwide, but especially in developing countries, where
up to 10% of children and 80% of adults are likely to have had an H. pylori
infection — usually without any symptoms.
Signs and Symptoms
Anyone can have an H. pylori infection without knowing it — most
H. pylori infections are "silent" and cause no symptoms. When the bacteria
do cause symptoms, they're usually either symptoms of gastritis or
peptic ulcer disease.
In kids, symptoms of gastritis may include nausea, vomiting,
and abdominal pain, although these symptoms are seen in many childhood illnesses.
H. pylori, which used to be called Campylobacter pylori, also
can cause peptic ulcers (commonly known as stomach ulcers). In older kids and adults,
the most common symptom of peptic ulcer disease is a gnawing or burning pain in the
abdomen, usually in the area below the ribs and above the navel. This pain often gets
worse on an empty stomach and improves as soon as the person eats food, drinks
milk, or takes antacid medicine.
Kids who have peptic ulcer disease can have ulcers that bleed, causing hematemesis
(bloody vomit or vomit that looks like coffee grounds) or melena (stool that's black,
bloody, or looks like tar). Younger children with peptic ulcers may not have such
clear symptoms, so their illness may be harder to diagnose.
Scientists suspect that H. pylori infection may be contagious because
the infection seems to run in families and is more common where people live in crowded
or unsanitary conditions. Although research suggests that infection is passed from
person to person, exactly how this happens isn't really known.
Doctors can make the diagnosis of an H. pylori infection by using many
different types of tests. A doctor may:
look at the stomach lining directly. The patient will be under sedation during
this procedure, which involves inserting an endoscope — a small, flexible tube
with a tiny camera on the end — down the throat and into the stomach and duodenum.
The doctor may then take samples of the lining to be checked in the laboratory for
microscopic signs of infection and for H. pylori bacteria.
do blood tests, which can detect the presence of H. pylori antibodies.
Blood tests are easy to do, although a positive test may indicate exposure to H.
pylori in the past, not an active infection.
do breath tests, which can detect carbon broken down by H. pylori after
the patient drinks a solution. Breath tests are time-consuming, provide no information
about the infection's severity, and can be difficult to perform in young children.
do stool tests,
which can detect the presence of H. pylori proteins in the stool (poop).
Like breath testing, stool tests indicate the presence of H. pylori but give
no information about an infection's severity.
Doctors treat H. pylori infections using antibiotics. Because a single
antibiotic may not kill the bacteria, your child will normally be given a combination
of antibiotics. Usually, the doctor will also give antacids or acid-suppressing drugs
to neutralize or block production of stomach acids.
If your child has symptoms of bleeding from the stomach or small intestine, these
symptoms will be treated in a hospital.
Because H. pylori infection can be cured with antibiotics, the most important
home treatment is to give your child any prescribed antibiotic medicine on schedule
for as long as the doctor has directed.
One way to help soothe the abdominal pain is by following a regular meal schedule.
This means planning meals so that your child's stomach doesn't remain empty for long
periods. Eating five or six smaller meals each day may be best, and your child should
take some time to rest after each meal.
It's also important to avoid giving your child aspirin, aspirin-containing medicines,
ibuprofen, or anti-inflammatory drugs because these may irritate the stomach or cause
With prolonged antibiotic therapy, H. pylori gastritis and peptic ulcer
disease (especially ulcers in the duodenum, a portion of the small intestine) often
can be cured.
Right now, there's no vaccine against H. pylori. And because transmission
isn't clearly understood, prevention guidelines aren't available. However, it's always
important to make sure you and your family: