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What is Helicobacter Pylori? Our Offices Florida Digestive Specialists – St. Pete 5767 49th St N St. Petersburg, FL 33709 Tel: (727) 443-4299 Fax: (727) 443-0255 Florida Digestive Specialists – Clearwater 1417 S. Belcher Road, Suite A Clearwater, FL 33764 Tel: (727) 443-4299 Fax: (727) 443-0255 Surgery Center 5771 49th St N St. Petersburg, FL 33709 Review Us On... This bacterium infects the lining of the stomach and thrives in the mucous environment. It is common worldwide and especially impacts the elderly, the very round, and those in Third World countries where sanitation is problematic. However, just because you have been exposed to H. pylori doesn’t necessarily mean you will be affected by its presence. Often H. pylori does not cause any symptoms. Approximately 50 percent of people in the United States have it. What are The Risks of Having H.Pylori? For many years, physicians thought ulcers in the upper gastrointestinal tract were related to stress, ‘Type A’ personality, and non-steroidal anti-inflammatory class of medicines that include aspirin and other over-the-counter pain relievers commonly used for arthritis and other conditions. Recently researchers have discovFundus ered that H. pylori is 100% Acute / Chronic actually the Body Gastritis cause for <1% Antrum many, if not MALT Lymphoma most 5% hg REQUEST AN APPOINTMENT Gastric Ulcer Gastric Atrophy ulcers. An 10% ulcer is a defect in the lining of an organ, in this case, 1% the stomach or duodenum (the Duodenal Ulcer Gastric Cancer first portion of the small intestine). The most common ulcer symptom is a burning pain in the abdomen. The pain often happens when the stomach is empty and may be relieved by eating food or taking antacids. Sometimes ulcers bleed. If the bleeding is heavy, blood may appear in vomit or bowel movements, which may appear dark red or black. ....continued on page 2 ....continued from page 1 Avoiding these certain foods can help minimize pain caused by H. Pylori Infections • Low-Fiber Grains – To make sure you’re getting plenty of fiber, replace refined-grain products in your diet, such as instant rice, pretzels and egg noodles, with whole-grain equivalents, such as brown rice, oatmeal and popcorn. • Spicy Foods – they are worth preventing once an H.Pylori infection sets in include jalapeño and cayenne peppers, salsa, Asian curries, miso paste and spicy mustard. Replace hot peppers with fruits and vegetables such as apples, celery, onions, garlic and cranberries, which may help slow the growth of H. pylori. • Coffee, Caffeine and Carbonated Drinks – Choose flat water and less-acidic beverages such as low-fat milk and herbal teas instead. • Pickled Foods – In a study published in the “Journal of the American College of Nutrition” in 2005, researchers analyzed the diets of 771 adults with and without gastric cancer history. While high vegetable intake was associated with a lowered risk for gastric cancer, high intake of pickled foods appeared to increase it. What are The Risks of.... H. pylori can also cause a painful inflammation of the stomach called gastritis. The symptoms of gastritis are upper-abdominal burning/pain, bloating, and discomfort. Long-term infection of the stomach with this bacterium may lead to chronic atrophic gastritis (inflammation and damage to the lining of the stomach), which in turn is a risk factor for pre-cancerous changes and cancer of the lining of the stomach. H. pylori infection is also associated with another type of stomach cancer involving white blood cells, called lymphoma despite these risks, the vast majority of people who carry this bacterium in their stomachs never develop cancer. How is H.Pylori Infection Diagnosed? Your physician can use a blood test, a breath test, or an endoscopy. Blood Test Your physician sends a sample of your blood to a lab to confirm if you have H. pylori. Breath Test In this test you drink a special liquid, and in less than an hour, a sample of your breath is tested for a chemical reaction caused by H. pylori. Endoscopy A small tube with a camera inside is inserted through the mouth or nose, passing into the stomach to look for inflammation and ulcers. During the procedure, a biopsy, or small sample of the stomach lining, can be obtained. This biopsy will be examined under a microscope by a surgical pathologist, preferably one specializing in gastro intestinal pathology, and a diagnosis of H. pylori infection or other unexpected abnormality can be established or excluded. Transmission of H.pylori How did I get it? The routes of transmission are not totally clear but the most likely route is person to person. Transmission Oral-Oral – is Iatrogenic - The first, and most frequent, mode of transmission is iatrogenic, in which tubes or endoscopes that have been in contact with the gastric mucosa of one individual are used for another patient. Occupationally acquired infections — usually in which infection is transmitted from a patient to staff member — have also been reported, especially among endoscopists and gastroenterologists. the 3rd possible route of transmission. Few Faecal – the 2nd possible route of transmission. H. pylori has been isolated from the faeces of infected young children but isolation from adults’ faeces has been rare. reliable studies have cultured H. pylori from the oral cavity; only sporadic isolates from dental plaque and saliva have been recorded. Water – Statisti- Zoonotic – cal and epidemi- is the ologic evidence transmission that water and from poor sanitation, animals to rather than human. ethnicity or crowding, are risk factors of H.pylori infection. Practical Tips Raw broccoli is bursting with nutrients, but cooked broccoli is even better for you since lightly steaming or stir-frying helps to The holiday is a perfect reminder to stop and say Thank You to all of our patients. Thank You for your support and trust in our practice. release its beneficial compounds. Not what we say about our blessing, but how we use them, is the true measure of our Thanksgiving. ~W.T. Purkiser Our office will be closed on Thursday, November 26th and Friday the 27th, for the Thanksgiving Holiday. We will be back on our normal business hours on Monday, November 30th Meet our Doctors REQUEST AN APPOINTMENT Dr. Jay K. Kamath Dr. K.L. Reddy Sally Follett, ARNP-C Lina HernandezTumaneng, ARNP-C To Sign Up for Our Newsletter Visit Our Web Site at: www.FLDigestiveSpecialists.com