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H pylori and sibo
Answers (29)
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Upper-GI endoscopy can detect H. pylori only when gastric biopsies are taken for rapid urease testing or histopathology; visualization alone cannot confirm it. Routine endoscopy does not diagnose SIBO. SIBO is usually assessed with a glucose or lactulose hydrogen–methane breath test; small-bowel aspirate culture during endoscopy is invasive and rarely required
Ferritin 22 ng/mL suggests reduced iron stores, while vitamin B12 202 pg/mL is borderline low. “Serum iron 38” cannot be interpreted without units, TIBC and transferrin saturation. H. pylori can contribute to iron/B12 deficiency, and SIBO may reduce B12 absorption, but these results do not prove either condition
Next Steps
Consult a physician or gastroenterologist. Consider:
CBC with MCV/MCH, ferritin, TIBC and transferrin saturation
Repeat B12 with folate; methylmalonic acid if available
TSH for hair thinning
H. pylori stool-antigen or urea-breath test before endoscopy, unless alarm symptoms are present
SIBO breath testing only if there is persistent bloating, diarrhoea, abdominal discomfort or clear risk factors
Health Tips
Stop PPIs approximately 2 weeks and antibiotics/bismuth 4 weeks before H. pylori breath or stool testing, after confirming with your doctor, to reduce false-negative results
Seek urgent evaluation if chest heaviness is exertional or associated with breathlessness, sweating, fainting, arm/jaw pain, or if there is difficulty swallowing, vomiting, black stools, weight loss or significant anaemia
Answered
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1. Yes. Endoscopy can detect H. pylori
2. Small intestinal bacterial overgrowth is diagnosed primarily through non-invasive breath testing, which measures hydrogen and methane gases. It's diagnosis is more of clinical.
3. Burps and chest heaviness can be due to gastritis or H pylori infection.
4. Your iron , ferritin and B12 all are low. Iron deficiency is one of the reason for hair fall.
5. Bad bacteria ( malabsorption) and dietary low iron and B12 can cause this.
Next Steps
feel free to consult me on practo for further evaluation and personalized treatment
Answered
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Upper GI endoscopy can detect h.pylori but, for SIBO hydrogen/methane test required. Chest heaviness and burps are usually associated with GERD, gastritis. H.pylori can cause low vitamin levels but donot cause hair thinning. For borderline low ferritin and b12 levels, consult a physician to get it corrected
Next Steps
consult a gastroenterologist for your chest heaviness and burping and as per symptoms he can plan H. Pylori test and hydrogen/methane breath test.
if hair thinning persist, check iron, serum ferritin, vitamin b12, thyroid function test.
Health Tips
donot self medicate for h.pylori or SIBO. do get proper consultation.
for hair thinning u can take supplements such as biotin, omega 3.
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