Download FREE Practo app
Get ₹200 HealthCash
Need opinion - Mild Gastritis, H Pylori
Recently got diagnosed with H Pylori and Chronic Mild Gastritis (endoscopy + D2 biopsy), RUT Test was completely red but after 12 hours.Symptoms - Had lack of appetite and Weight loss over 4-5 years.(~7 kgs). Doctor said I have mild H Pylori Infection but he wont give antibiotics cause I wont be able to handle it, so he gave probiotics. The report says Antibiotics avoided i/v/o mild gastritis and low bmi. I appreciate his diagnosis but I would like to know more.
Answers (18)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Needs complete treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced stomach expert online and get your health questions answered in just 5 minutes.
+194
As you have tested positive for h pylori infection,you definitely need eradication therapy that includes an antibiotic for 10-14 days
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
The diagnosis of “mild gastritis” does not by itself explain the whole story; the H. pylori result plus longstanding weight loss deserves a more complete evaluation and, in most cases, eradication therapy rather than probiotics alone. The most useful next step is to read the actual pathology report and decide whether the patient needs standard H. pylori treatment and a weight-loss workup.
Next Steps
Review the actual biopsy report: H. pylori positivity, degree of gastritis, any atrophy, intestinal metaplasia, or ulceration.
Confirm current symptoms: epigastric pain, nausea, early satiety, vomiting, reflux, black stools, anemia, or appetite loss.
Check basics if weight loss is real: CBC, ferritin/iron studies, LFT, TSH, celiac screening if appropriate, and nutritional assessment.
If H. pylori is confirmed and there is no contraindication, discuss eradication therapy with a gastroenterologist using a guideline-based regimen
After treatment, confirm eradication with a urea breath test or stool antigen test at the appropriate interval, because symptom improvement alone is not enough
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
From your endoscopy report, a few things come out:
1. You have H. pylori infection.
2. You have mild gastritis.
3. You have loose lower esophageal sphincter.
4. You have lost weight.
The most serious fact is that you are losing weight. It can aggravate further. So a quick response is needed to control all these factors.
Next Steps
You need treatment for:
1. Treat H. pylori infection with Triple therapy.
2. Treat Gastritis with PPI.
3. Lifestyle changes for lax LES or go for surgery like Nissen fundoplication or LINX approach.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Continue the treatment, no problem.because without antibiotic therapy ,h, pylori infection is increased day by day and its convert into mild to severe form of gastritis and so on .get well soon.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
have reviewed the reports you shared. The endoscopy findings suggest non-erosive antral gastritis, and there is no evidence of ulcer, mass lesion, or stricture, which is reassuring. The Rapid Urease Test (RUT) is reported as positive for H. pylori, and your prescription also mentions H. pylori-positive gastritis with possible IBS and anxiety-related symptoms.
Take the prescribed medications regularly as directed.
Avoid spicy, oily, fried, and highly processed foods.
Avoid smoking, alcohol, and excessive caffeine intake.
Eat small, frequent meals instead of large meals.
Maintain good hydration and focus on adequate
calorie and protein intake to support weight gain.
Manage stress and anxiety, as they can significantly worsen gastritis and IBS symptoms.
Monitor your weight and appetite over the next few weeks.
Seek prompt medical attention if you develop persistent vomiting, gastrointestinal bleeding (black stools or blood in stools), severe abdominal pain, or progressive weight loss.
Next Steps
You may also consult with me online for a detailed evaluation, dietary guidance, and further management of your condition.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Hi
If H.pylori is positive better to proceed with antibiotic combination with vonoprazan
Weight loss could be because of gastritis itself but you need further evaluation for that
Wishing you a speedy recovery
If needed further details pls contact
Eight754five64nine64
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
You can follow triple therapy for h pylori . Ppi are must and useful for h pylori
Health Tips
Avoid morning tea, add green veggies and seasonal fruits
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Jayesh P Nanda
General Physician
22 yrs exp
Mumbai
Hello! First of all, please take a deep breath and give yourself some peace of mind. It is completely understandable to feel worried about losing 7 kg over the years and seeing a positive H. pylori infection report. However, looking closely at your clinical reports ,your gastroenterologist has actually made a highly calculated, brilliant, and protective decision for your body.
When patients read about H. pylori online, they expect a heavy, aggressive course of 3 to 4 harsh antibiotics. Let me explain exactly why avoiding them right now is the best medical strategy for you, and what your current treatment means:
—Why Antibiotics Were Avoided: According to your prescription your weight is currently 41.3 kg. A standard 14-day chemical antibiotic course for H. pylori is notoriously heavy. In a body with a low BMI, it frequently triggers severe nausea, completely kills off the remaining appetite, and wrecks good gut bacteria. Giving you those antibiotics right now would likely cause you to lose even more weight, which your body cannot afford.
—The "Food Residues ++" & IBS Connection: Your endoscopy report i notes "food residues ++" in your stomach, meaning your digestion is currently very sluggish and food is sitting in your stomach longer than it should. Combined with "Likely IBS and Anxiety," your brain-gut axis is highly sensitive. This sensitivity is the true root cause behind your 4-5 years of poor appetite and gradual weight loss.
Next Steps
Your current medical prescription is excellent for cooling down the inflammation in your stomach. However, a prescription alone cannot rebuild 7 kg of lost weight or fix a sluggish digestive system.
To safely gain weight without bloating your sensitive stomach, you need a highly specialized, calorie-dense, easy-to-digest dietary framework and a step-by-step roadmap to track your gut healing.
Health Tips
Your treating consultant has given you best possible medicin calculating every possible side effect,
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
Kindly share antibody test
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. R S Disodia
General Physician
31 yrs exp
Gurgaon
Kindly consult gastroenterologist
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Needed
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Needed
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.