1. This h-pylori bacteria causes peptic ulcers . These ulcers may be acute or chronic.
  2. The ulcers occur in the stomach, duodenum and occasionally in the lower oesophagus and upper jejunum.
  3. NOTE. This bacteria multiply in high gastric acid.  
  4. There are kind of food that favors the multiplication of the bacteria e.g Red meat, tomatoes,kales, chocolate etc
  5. Some drugs like NSAID, STEROIDS
  6. smoking, cigarettes
  7. Stress
  8. Alcohol
  9. CLINICAL FEATURES -: Epigastric pain,heart burn, water brush, diarrhea alternating with constipation occasionally, anorexia, nausea, vomiting and weight loss.
  10. MANAGEMENT:- Investigation like :-  H-pylori test, barium swallow, endoscopy,acid titres, gastric content.
  11. Advice pnt accordingly to stop or reduce food with high acid , stop alcohol, stop smoking cigarettes, stop chewing khat, stop NSAIDs.
  12. Treatment with drugs:- H-pylori triple therapy eg amoxicillin+clarithromycin+ Omeprazole or Amoxicillin+metronidazole+Omeprazole, antacid eg magnesium and aluminum, bismuth and H2 receptor antagonist eg cimetidine, ranitidine.

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