Dear Patient, Itâs understandable that youâre feeling uncertain about how to proceed with these mixed test results.
The endoscopy and urea breath test are considered highly reliable for detecting active H. pylori infections, especially after treatment. Since both tests came back negative, it's a strong indicator that H. pylori was likely eradicated.
The urea breath test is highly sensitive and specific, and it directly detects active infection in the stomach lining. Negative results here suggest you no longer have an active H. pylori infection in your stomach.
The GI MAP stool test is a different type of test that can detect DNA fragments of H. pylori in stool. While elevated levels of H. pylori DNA in the stool may indicate some remnants, it doesn't necessarily reflect an active infection in the stomach, especially when virulence factors are negative.
The lack of virulence factors suggests that even if some H. pylori is present in your digestive tract, it is unlikely to be causing active infection or significant harm at this point. It's possible that the DNA detected represents dead bacterial remnants, rather than a living, active infection.
It's possible your ongoing symptoms are due to residual inflammation or other factors rather than an active H. pylori infection. Post-treatment gastritis (inflammation of the stomach lining) can persist even after the bacteria is eradicated. It can take time for the stomach lining to fully heal, especially if there was significant irritation or ulceration.
Keep track of your symptoms. If they persist or worsen, it may be worth discussing additional diagnostic options a doctor, such as checking for other causes of gastritis (e.g., non-H. pylori-related dyspepsia, food intolerances, or acid reflux).
Youâre already on the right track by staying in touch with your doctor. Continue to focus on symptom management through diet, medications (if prescribed), and lifestyle changes.
Let me know if you have any more questions or concerns
Next Steps
Consult a doctor for a prescription of Proton Pump Inhibitors (PPIs) or H2 blockers to reduce stomach acid and promote healing.. stress can aggravate gastritis symptoms, incorporating relaxation techniques like meditation, yoga, or mindfulness can help reduce symptom severity. Probiotics can help restore a healthy balance in the gut, especially after taking antibiotics.
Health Tips
Avoid spicy foods, caffeine, alcohol, and fatty or fried foods. Opt for smaller, more frequent meals that are easy to digest.