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Helicobacter Pylori (H. Pylori)

Discover expert Helicobacter pylori diagnosis and treatment in Houston with Dr. Rishi Chadha at GastroDoxs. Board-certified and compassionate, Dr. Chadha offers personalized care plans, modern diagnostic testing, and support to relieve stomach pain, heal ulcers, and restore your digestive health.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Helicobacter Pylori (H. Pylori)?

Helicobacter pylori, or H. pylori, is a common bacterium that lives in the stomach lining. It can remain asymptomatic for years but may lead to irritation, ulcers, and digestive discomfort in some people.

Common Causes and Risk Factors

  • Consuming contaminated food or water
  • Close contact with an infected person (saliva, vomit, or fecal-oral transmission)
  • Poor hygiene or sanitation conditions
  • Crowded living environments
  • Family history of H. pylori infection or stomach ulcers

Common Symptoms

  • Burning or aching pain in the upper abdomen
  • Nausea or upset stomach
  • Bloating and frequent burping
  • Loss of appetite or unexplained weight loss
  • Vomiting or dark, tarry stools (indicating bleeding)

How Dr. Rishi Chadha Diagnoses Helicobacter Pylori (H. Pylori)?

1. Medical History and Physical Exam

Dr. Chadha begins by reviewing your symptoms (stomach pain, bloating, nausea), medical background, family history of ulcers, and lifestyle factors that may increase risk.

2. Non-Invasive Tests

  • Urea Breath Test:
  • You swallow a special solution, then breathe into a bag. The test detects urease produced by H. pylori.

  • Blood Antibody Test:
  • Checks for antibodies the body makes in response to an H. pylori infection.

  • Stool Antigen Test:
  • Detects H. pylori proteins (antigens) passed in the stool.

3. Upper Endoscopy (if needed)

If non-invasive tests are inconclusive or if you have severe symptoms, Dr. Chadha performs an endoscopy to:

  • Visually inspect the stomach and duodenum lining
  • Obtain small biopsy samples to confirm H. pylori and check for ulcers or pre-cancerous changes
Dr. Rishi Chadha
Treatment

H. Pylori Treatment Options

1. Lifestyle and Diet Tips

  • Eat smaller meals more often
  • Avoid spicy, acidic, or greasy foods
  • Cut down on caffeine and alcohol
  • Quit smoking-it slows healing

2. Medications

  • Antibiotics to kill the bacteria
  • Proton pump inhibitors (PPIs) to reduce acid and heal ulcers
  • Bismuth-based medications to boost treatment effectiveness

3. Advanced Treatment (if needed)

  • Endoscopic therapy for bleeding ulcers
  • Tissue sampling and targeted treatment via endoscopy
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is H. pylori?

It's a bacteria that lives in the stomach and can cause ulcers or irritation.

How do people catch H. pylori?

Through contaminated food or water, close contact with someone who has it, poor hygiene, or family history of ulcers.

What are the symptoms of an H. pylori infection?

Burning or aching stomach pain, nausea, bloating, frequent burping, loss of appetite, and in severe cases, vomiting or blood in the stool.

How is H. pylori diagnosed?

With a breath, blood, or stool test, and if needed, an endoscopy to look inside the stomach and take a small tissue sample.

How long is H. pylori treatment?

Most people take antibiotics and acid reducers (PPIs) for 10 to 14 days.

Can I prevent H. pylori?

Yes-wash hands often, eat clean food, drink safe water, and practice good sanitation.

Are there side effects from treatment?

Some people experience mild nausea, changes in taste, or other mild symptoms during antibiotic therapy.

What if the infection doesn-t go away?

Dr. Chadha will adjust your medications, extend treatment, or perform additional tests to identify resistant strains.

Is follow-up needed after treatment?

Yes'repeat testing (breath or stool) is recommended to confirm the infection is fully cleared.

Will my ulcer heal?

Most ulcers heal completely with the right combination of antibiotics, acid reducers, and diet modifications.

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