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Question of the Week | Best Treatment for H. pylori?

JR is 50, has type two diabetes, and was referred to G.I. due to six months of stomach pain, intestinal, bloating, and generalized G.I. discomfort. Since they were due for their colonoscopy, the doctor also ordered an upper endoscopy to biopsy the esophagus, stomach and duodenum for any abnormalities.

The biopsy revealed that JR had moderate chronic gastritis and an H. pylori infection. JR wants to learn more about H. pylori infection.

Which of the following statements are accurate?

  1. Since H. pylori is found in about half the population, it is a normal finding, and there is no need for treatment.
  2. Treatment includes double antibiotic therapy and a medication to decrease gastric acidity.
  3. The preferred treatment is the consumption of prebiotics and probiotics to increase bacterial diversity.
  4. Most people with H. pylori infection experience stomach cancer within the next 20 years.

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