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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Most Effective Test To Rule Out H.pylori Infection?

HI , This query is about helicobacter pylori diagnosis. What is is the most effective test to rule out H.pylori infection in INdia?
i donot want to go through invasive procedure like endoscopy.
Please advise about noninvasive tests.
The blood testing for Ig G and Ig M also does not confirm a recent infection.
I have never been treated or tested before for this infection.
I have been diagnosed with moderate anemia with HB of 8.9 and ferritin of 2.9. I would also like to know if IV supplementation of iron sucrose can be done instead of having to take oral supplementation as this does not agree with me and affects me badly.
Sat, 15 Feb 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,
Helicobacter pylori is a Gram-negative,bacterium present in the stomach.
80 percent of individuals infected with the bacterium will be asymptomatic but individuals infected with H. pylori have a 10 to 20% lifetime risk of developing peptic ulcers.
Confirmation of the presence of the H. pylori bacterium can be determined non-invasively using a urea breath test or a stool antigen test.
So,i would suggest you to go for for urea breath test.
But definitely best confirmation can be done only by endoscopic biopsy followed by rapid urease testing histology with special stains, or culture.
Yes,you can go for iron sucrose injections if you are not compliant with oral medications.But be sure that you take under your doctors guidance,since it has its own side effects. Thank you

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What Is The Most Effective Test To Rule Out H.pylori Infection?

Hello, Welcome to HCM, Helicobacter pylori is a Gram-negative,bacterium present in the stomach. 80 percent of individuals infected with the bacterium will be asymptomatic but individuals infected with H. pylori have a 10 to 20% lifetime risk of developing peptic ulcers. Confirmation of the presence of the H. pylori bacterium can be determined non-invasively using a urea breath test or a stool antigen test. So,i would suggest you to go for for urea breath test. But definitely best confirmation can be done only by endoscopic biopsy followed by rapid urease testing histology with special stains, or culture. Yes,you can go for iron sucrose injections if you are not compliant with oral medications.But be sure that you take under your doctors guidance,since it has its own side effects. Thank you