What is H. Pylori? How to Diagnose and Treat H. Pylori

Summary

Julianne, a functional medicine practitioner and gut health expert, delves into H. pylori, a widespread and resilient pathogen affecting two-thirds of the global population. She explains its transmission, symptoms, and the significant impact on digestive health, including low stomach acid and nutrient deficiencies. Julianne discusses diagnostic tests, conventional treatments involving antibiotics, and the functional medicine approach, emphasizing probiotics, natural remedies, and dietary changes. She also highlights the importance of addressing stress management, dental hygiene, and potential transmission within families.

Takeaways

• 🦠 H. pylori is a spiral-shaped, gram-negative bacteria known as one of the most successful pathogens in human history, affecting around two-thirds of the world's population.
• 💊 The gram-negative nature of H. pylori makes it difficult to treat because its double outer cell wall layer resists antimicrobial drugs and herbs.
• 👶 H. pylori is often contracted in childhood, commonly through contaminated water, sharing drinks, or utensils, and can be transmitted via saliva and feces.
• 🧫 H. pylori can reduce stomach acid, leading to issues like low stomach acid, poor digestion, nutrient deficiencies, and potentially more serious conditions like ulcers.
• 🧪 Testing for H. pylori can be done through blood tests, breath tests, endoscopy, or stool tests, with the GI Map test being the most comprehensive method.
• ⚠️ Untreated H. pylori infections can lead to symptoms like bloating, gas, indigestion, nutrient deficiencies, and even mood disorders due to nervous system inflammation.
• 🔬 Conventional treatment for H. pylori often involves a combination of antibiotics and medications like proton pump inhibitors, though functional medicine offers alternative approaches.
• 🌿 Functional medicine treatments include probiotics, Mastic Gum, Berberine, olive leaf, and digestive support supplements like Betaine HCL and digestive enzymes.
• 🥦 Dietary recommendations for H. pylori include a well-balanced diet rich in probiotics, omega-3 fatty acids, polyphenols, and avoiding caffeine, carbonated beverages, and spicy foods.
• 🦷 Addressing dental hygiene and potential sources of H. pylori exposure, like contaminated water or family members, is crucial in preventing reinfection and ensuring effective treatment.

Q & A

What is H. pylori and why is it considered the most successful pathogen in human history?

H. pylori is a spiral-shaped, gram-negative bacterium that has been around for at least 200,000 years. It's considered the most successful pathogen in human history due to its long existence and widespread infection rate, affecting approximately two-thirds of the world's population.

Why is H. pylori difficult to eradicate with antimicrobial drugs?

H. pylori is difficult to eradicate because it is a gram-negative bacterium, which means it has two cell walls. This double outer layer makes it harder for antimicrobial drugs and herbs to penetrate and kill the bacteria.

How is H. pylori typically transmitted, and who is most at risk of contracting it?

H. pylori is primarily transmitted through saliva and feces. People in developing countries, those of low socioeconomic status, and individuals living in poor conditions are at higher risk. In developed countries, it can be contracted through sharing drinks or utensils with an infected person.

What role does stomach acid play in the presence of H. pylori, and how does the bacteria affect stomach acid levels?

Stomach acid is crucial for digestion and acts as a first line of defense against pathogens. H. pylori produces an enzyme called urease, which neutralizes stomach acid, leading to low stomach acid (hypochlorhydria). This reduction in stomach acid can cause digestion issues and nutrient deficiencies.

What are some common symptoms associated with H. pylori infection?

Common symptoms include bloating, gas, constipation or diarrhea, indigestion, maldigestion, nutrient deficiencies, and potential neurological issues like mood swings, anxiety, and depression. In some cases, H. pylori can also cause ulcers.

What are the different testing methods available for diagnosing H. pylori?

Testing methods include blood tests (which detect antibodies), breath tests (which measure carbon dioxide levels), endoscopy (an invasive procedure to biopsy the stomach mucosa), and the GI Map test (an at-home stool test that detects H. pylori antigens and virulence factors).

Why might the GI Map test be preferred over other diagnostic methods for H. pylori?

The GI Map test is preferred because it is comprehensive, non-invasive, and uses qualitative polymerase chain reaction (qPCR) technology to detect the DNA of H. pylori and other markers of digestive health. It also identifies virulence factors that can indicate the potential for more severe conditions like ulcers or gastric cancer.

What is the conventional treatment for H. pylori, and what are some potential drawbacks?

Conventional treatment typically involves a combination of at least two antibiotics and a proton pump inhibitor (PPI) to prevent antibiotic resistance and reduce stomach acid. However, long-term use of PPIs can lead to side effects like nutrient deficiencies, infections, and other health issues.

What alternative or functional medicine approaches are available for treating H. pylori?

Functional medicine approaches include the use of probiotics, Mastic gum, black cumin seed, berberine, olive leaf extract, licorice, and bismuth. These natural treatments help eradicate H. pylori, support digestive health, and avoid the side effects associated with conventional treatments.

How can diet and lifestyle changes support the treatment of H. pylori?

A well-balanced diet rich in probiotics, omega-3 fatty acids, polyphenols, and antioxidants can support the treatment of H. pylori. Avoiding caffeine, carbonated beverages, and spicy foods is also recommended. Additionally, stress management techniques like yoga, meditation, and deep breathing can help heal the gut lining and improve overall health.

Outlines

00:00

🦠 Introduction to H. pylori and Its Challenges

Julianne, a nurse practitioner and gut health expert, introduces H. pylori, a spiral-shaped gram-negative bacteria known as one of the most successful pathogens in human history. She explains its resistance to antimicrobial drugs due to its double cell wall and its high prevalence, with about two-thirds of the world’s population infected. H. pylori is commonly spread through saliva and feces, often contracted in childhood, and can reside in the stomach and vaginal cavity, leading to possible sexual transmission. Julianne emphasizes the importance of treating both the patient and their partner to avoid reinfection.

05:02

📉 Impact of H. pylori on Stomach Acid and Nutrient Absorption

The bacteria H. pylori produces the enzyme urease, which neutralizes stomach acid, leading to a condition called hypochlorhydria (low stomach acid). Low stomach acid disrupts digestion and nutrient absorption, potentially causing deficiencies in vitamins like B12, C, and A, leading to various health issues such as pernicious anemia. Symptoms of nutrient deficiencies, including brittle nails, hair loss, and fatigue, are highlighted. Julianne underscores the importance of recognizing these signs when diagnosing or managing H. pylori.

10:04

⚕️ Symptoms and Testing for H. pylori

Many people with H. pylori may not experience noticeable symptoms, but those who do might suffer from gastrointestinal issues like bloating, gas, and indigestion, as well as nutrient deficiencies and mood disorders. Testing for H. pylori includes blood tests (which may not distinguish between past and present infections), breath tests (which detect carbon dioxide from urease activity), and endoscopy (an invasive procedure used for direct examination and biopsy). Julianne also introduces the GI map test, a comprehensive at-home stool test that detects H. pylori DNA and virulence factors, providing insights into potential complications like ulcers or gastric cancer.

15:05

💊 Conventional and Functional Approaches to Treating H. pylori

Julianne explains conventional treatments for H. pylori, which often involve multiple antibiotics to prevent resistance, and proton pump inhibitors (PPIs) to reduce stomach acid. However, PPIs can exacerbate issues related to low stomach acid and have long-term side effects, including nutrient malabsorption and increased risk of infections. In contrast, the functional medicine approach focuses on probiotics, herbal remedies like Mastic Gum, Black Cumin Seed, and Berberine, and other supplements like Bismuth and Zinc Carnosine. These alternatives aim to eradicate H. pylori while supporting gut health without the adverse effects associated with conventional treatments.

20:07

🥦 Diet, Lifestyle, and Additional Support for H. pylori Patients

Dietary recommendations for H. pylori patients include a well-balanced diet rich in probiotics, omega-3 fatty acids, and anti-inflammatory foods like berries and cruciferous vegetables. Julianne advises against caffeine, carbonated beverages, and spicy foods. She also emphasizes the importance of addressing dental hygiene, as the mouth can harbor H. pylori, and educating patients about transmission risks. Stress management and supporting gut lining health with supplements like glutamine and aloe are also highlighted as essential components of a holistic treatment approach.

Keywords

💡H. pylori

H. pylori (Helicobacter pylori) is a spiral-shaped gram-negative bacterium that has been identified as one of the most successful pathogens in human history. It can survive in the acidic environment of the stomach and is linked to several gastrointestinal issues, including ulcers and stomach cancer. The video highlights its prevalence, methods of transmission, and the challenges it presents in treatment due to its resistance to many antimicrobial drugs.

💡Gram-negative bacteria

Gram-negative bacteria are a class of bacteria characterized by having two cell walls, which makes them more resistant to antibiotics. In the context of the video, H. pylori is described as a gram-negative bacterium, which contributes to its ability to evade many treatments. This characteristic is crucial for understanding why H. pylori infections can be difficult to eradicate.

💡Hypochlorhydria

Hypochlorhydria refers to the condition of having low stomach acid. The video explains that H. pylori can cause hypochlorhydria by producing an enzyme called urease, which neutralizes stomach acid. This condition impairs digestion and can lead to nutrient deficiencies, contributing to a range of health issues such as malnutrition and bacterial overgrowth.

💡Urease

Urease is an enzyme produced by H. pylori that neutralizes stomach acid by converting urea into ammonia and carbon dioxide. This process raises the pH level in the stomach, making it less acidic. The video emphasizes the role of urease in the pathogenesis of H. pylori, as it allows the bacterium to survive in the harsh acidic environment of the stomach.

💡Nutrient deficiencies

Nutrient deficiencies occur when the body lacks essential vitamins and minerals, which can happen due to poor absorption. The video links nutrient deficiencies to H. pylori infections, explaining how low stomach acid caused by the bacteria impairs the absorption of nutrients like vitamin B12, vitamin C, and folic acid, potentially leading to conditions like pernicious anemia.

💡GI MAP test

The GI MAP test is a comprehensive stool test used to detect the presence of H. pylori and other gastrointestinal pathogens. It uses PCR technology to target specific DNA of the bacteria. The video advocates for the GI MAP test as a preferred method for diagnosing H. pylori due to its accuracy and ability to provide detailed insights into the digestive health and potential virulence factors of the bacteria.

💡Probiotics

Probiotics are beneficial bacteria that support gut health by repopulating the microbiome with healthy organisms. In the video, probiotics are recommended as part of a functional medicine approach to treating H. pylori infections. Specific strains like Lactobacillus fermentum and Saccharomyces boulardii are highlighted for their effectiveness in fighting H. pylori.

💡Functional medicine

Functional medicine is a holistic approach to healthcare that focuses on identifying and addressing the root causes of diseases. The video contrasts functional medicine with conventional treatments, emphasizing its effectiveness in treating H. pylori without the side effects often associated with antibiotics and other conventional drugs. It includes the use of natural supplements, dietary changes, and stress management techniques.

💡Antibiotic resistance genes

Antibiotic resistance genes are genetic markers that indicate a bacterium's resistance to specific antibiotics. The video discusses how the presence of these genes in H. pylori can guide treatment decisions, as certain antibiotics may be ineffective. This concept is crucial for understanding why some H. pylori infections persist despite antibiotic treatment.

💡Stomach acid

Stomach acid is the digestive fluid produced in the stomach, primarily composed of hydrochloric acid. It is essential for breaking down food and absorbing nutrients. The video explains how H. pylori disrupts the normal production of stomach acid, leading to conditions like hypochlorhydria, which in turn causes various digestive and absorption problems.

Highlights

H. pylori is one of the most successful pathogens in human history, having been around for at least 200,000 years.

H. pylori is a gram-negative bacterium, meaning it has two cell walls, making it harder for antimicrobial drugs and herbs to eradicate.

Approximately two-thirds of the world's population is infected with H. pylori, with higher prevalence in developing countries.

H. pylori can be contracted through contaminated drinking water or through saliva and feces, often spreading in childhood.

H. pylori primarily resides in the stomach, where it can survive in the acidic environment, and may also colonize in the vaginal cavity, potentially leading to sexual transmission.

The bacterium produces an enzyme called urease, which neutralizes stomach acid, leading to low stomach acid and various digestive issues.

Low stomach acid caused by H. pylori can result in nutrient deficiencies, including vitamin C, vitamin A, vitamin B12, and folic acid.

Symptoms of low stomach acid include feeling like food is not digesting, constipation, diarrhea, indigestion, malnutrition, and bacterial overgrowth.

H. pylori can cause neurological issues like mood swings, anxiety, and depression due to inflammation of the nervous system.

Only about 10% of H. pylori patients develop ulcers, yet over 90% of duodenal ulcers and 80% of gastric ulcers are caused by the bacterium.

Testing for H. pylori includes blood tests, breath tests, endoscopy, and the GI Map test, with the latter being the most comprehensive.

Functional medicine approaches to treating H. pylori include probiotics, Mastic Gum, black cumin seed, berberine, and zinc carnosine.

Conventional treatment usually involves a combination of antibiotics and medications like proton pump inhibitors, but these come with potential side effects.

Addressing stress management and rebuilding the gastric mucosa are essential components of H. pylori treatment.

Patients should consider testing or treating family members due to the high rate of H. pylori transmission within households.

Transcripts

hey I'm Julianne I'm a nurse

practitioner functional medicine

provider and gut health expert and today

we're going to be talking and taking a

deep dive into hpylori now H palori has

been termed the most successful pathogen

in human history it's been around for at

least 200,000 years H palori is a spiral

shaped gram negative bacteria now why is

that important well gram negative

bacteria means that it has two cell

walls Grim positive bacteria on the

other hand only have one cell wall now

this double outer layer of the gram

negative bacteria makes that bacteria

harder for antimicrobial drugs and herbs

to affect and kill the organism that's

why it's important it's actually one of

the hardest things to get rid of that I

see on functional testing it's estimated

that 2/3 thirds of the world's

population is infected with hpylori so

how does that actually happen let's talk

about how you can contract hpylori

there's a higher prevalence of the

infection in developing countries and

it's usually due to contaminated

drinking water people of low

socioeconomic status and other just poor

living conditions now for most of us in

developed countries it is as simple as

just sharing drinks or utensils with

someone who is already infected with

hpylori so it's spread primarily through

saliva and feces those are the two most

common ways to contract hpylori and it

actually often occurs in childhood we're

actually often contaminated or infected

in childhood even if we don't have

symptoms right away or ever H pylori is

found in the stomach that's kind of

where it lives in the upper

gastrointestinal tract and it's one of

the few bacteria that are able to

colonize in this really acidic

environment you should also know that H

palori may be able to colonize in the

acidic environment of the vaginal cavity

and so the vagina can act as a reservoir

allowing sexual transmission of the

bacteria very important when you're

discussing with patients talking about

transmission and talking to to their

Partners about potentially having this

bacteria as well so for these reasons

when I'm working with a patient who has

hpor it's really important to share this

and how it's transmitted and have a

conversation with their partner if they

have a partner it's recommended that

their family members especially their

partner either get tested themselves or

take the treatment because there's such

a high rate of transmission now if we

treat a patient but the partner isn't

treated they will likely just get the

infection back again and not completely

rid it from the body so this is just an

extremely important conversation to have

and concept to understand H pylori

produces an enzyme called Urias now this

enzyme makes your stomach acid less

acidic it basically neutralizes your

stomach acid the normal pH of the

stomach is around 1.5 to 3.5 and if your

stomach pH is less than three you have

normal acid levels if the pH is 3 to 5

you have something called

hypochlorhydria or low stomach acid why

is this important stomach acid is

crucial to digestion low stomach acid

causes a host of issues if you don't

have enough stomach acid you cannot

break down and digest your food properly

especially protein you also won't be

able to absorb nutrients from the food

many people with hpylori will develop

nutrient deficiencies things like

vitamin C vitamin A vitamin B12 and

folic acid deficiencies also if you have

a B12 deficiency that can lead to

something called pernicious anemia so

you can see there are can be some

significant issues with hpylori low

stomach acid and nutrient deficiencies

now just a few symptoms of nutrient

deficiencies brittle fingernails hair

loss pale skin or mucous membranes

fatigue weakness numbness or tingling in

the hands memory loss headaches so keep

these things in mind if you think or

suspect you have H pylori or you're

working with a patient who has hpylori

you may start to see some of these signs

and symptoms of nutrient deficiencies

other issues or symptoms that are

associated with low stomach acid are

just feeling like food is sitting on the

stomach and not going anywhere not

digesting it can also cause either

constipation or diarrhea indigestion

undigested food seen in the stool

malnutrition and also bacterial

overgrowth because remember every day on

a daily basis we are constantly coming

in contact with bad pathogens whether

it's a virus bacteria parasite or some

type of yeast we're coming in contact

with these things and if we ingest these

type of pathogens often the stomach acid

will destroy these pathogens before they

can start to grow and multiply in our

body that's what we want but again if we

have low stomach acid or hypochlorhydria

we have lost that first line of defense

so so that is why stomach acid is

extremely important if you suspect that

there is hypochlorhydria and it's coming

from an hpor infection there are a few

other labs that you might want to

consider getting a CBC or complete blood

count a comprehensive metabolic profile

or CMP an iron panel a thyroid panel a

B12 level and an intrinsic factor those

are some other labs that you may want to

consider getting but first let's talk

about how do you even know if you have

hpic what might be some of the symptoms

it is estimated that up to 90% of

patients with hpor actually will not

experience any specific symptoms that

they can identify but when patients do

have symptoms we're looking at things

like bloating gas constipation or

diarrhea indigestion Mal digestion

dispos which is an IM balance in good

and bad bacteria in the microbiome low

stomach acid nutrient deficiencies we

can also see things like mood swings

anxiety depression because H pylori

causes inflammation of the nervous

system so we can see these neurological

issues also about 10% of patients with

this bacteria develop ulcers now it's

estimated that more than 90% of J genal

ulcers which occur in the upper small

intestine and 80% of gastric or stomach

ulcers are caused by hpylori so if you

suspect that you have hpylori or if

you're working with a patient who you

suspect may have hpor how are you going

to know what testing is available the

first one is a blood test this test for

the antibodies to hpylori now antibodies

are protective proteins that are

produced by your immune system they

attack antigens now an antigen is really

any foreign substance or object things

like bacteria viruses parasites really

any foreign Invader the blood test will

not tell you if the infection is active

it will just tell you that you have

antibodies meaning it could be an active

or present infection or it could be a

past infection therefore the blood test

is probably not the best test for you or

your Pat

next up is the breath test now the

breath test measures the amount of

carbon dioxide that you exhale this

indicates the presence of hpylori in

your stomach so again hpylori produces

an enzyme called Urias which breaks Ura

down into ammonia and carbon dioxide so

the way this test works is first you

would exhale into a bag to measure the

level of carbon dioxide then you'll be

we asked to drink a small amount of a

solution that contains Ura 15 minutes

later after drinking the solution you

would exhale into a second bag the

amount of carbon dioxide that you exhale

into the second bag is also measured it

is based on the ability of the H pylori

to convert Ura to ammonia and carbon

dioxide if H palori is present it breaks

down the Ura solution that you drink

it's releasing carbon dioxide in the

breath that you exhale so if the amount

of carbon dioxide in your second sample

is higher than the amount in your first

sample then you have a positive test for

the presence of h palori test number

three is an endoscopy now an endoscopy

is an invasive procedure when we do an

endoscopy it's often for other reasons

to see if there are any structural

issues and just to get a good look at

the anatomy and what's going on inside

the esophagus and stomach the endoscopy

is used to culture and biopsy the

stomach mucosa for a rapid Urias test or

histologic staining so given that this

procedure it can be costly it is

invasive it's typically reserved when

again there are images needed for other

reasons and lastly my personal

preference and most comprehensive test

is called the GI map test this is an at

home stool test that looks for the

antigens to hpylori in your stool so it

relies on something called qualitative

polymerase Chain Reaction technology or

qpcr technology to detect the bacteria

by targeting the specific DNA of the

organisms that are tested now this stool

test also includes other markers for

digestion absorption inflammation immune

function and all of this helps to

evaluate over all digestive health and

function very comprehensively another

thing that we get to look at on this GI

map stool test are the detection of

virulence factors now the GI map looks

at eight different genes and these

positive variance genes represent the

potential for an hpylori strain to

create pathology such as duodenal ulcers

or gastric cancer it should also be

noted that of those that Harbor hpylori

only about 2% develop gastric cancer but

this will give us insight into genetic

characteristics for example some of the

genes such as the duodenal promoting

Gene a and the outer inflammatory

protein a are known to promote lots of

inflammation another example is

cytotoxin associated Gene a and vacula

toxin a these can disrupt the typ

injunctions in the gut lining leading to

leaky gut now why is all of that

important having this type of data can

help to guide therapy and as a

practitioner you will want to be sure

that you treat these patients with

positive veilance factors very

aggressively and be sure that we fully

eradicate the hpylori so retesting in

this population with positive variance

factors is extremely important all of

these tests can be ordered through re of

Health now that we've discussed what

this very common pathogen is what the

symptoms are and how to test for it

let's talk about how to get rid of it

first I'm going to talk about

conventional treatment modalities H

pylori infections are often

conventionally treated with at least two

antibiotics at once this helps to

prevent the bacteria from developing a

resistance to one particular antibiotic

you should also know that with a GI map

you will actually get results for

hpylori antibiotic resistant genes now

what does that mean the antibiotics

tested for are amoxicillin chloromycin

tetracycline and the class of

fluoroquinolones so if on the GI map we

see an antibiotic resistance Gene is

present then we know that that class of

antibiotics is designated positive for

antibiotic resistance a positive result

for or the presence of these resistant

genes for a given antibiotic indicates

that that antibiotic is not an ideal

choice for that particular patient's

protocol so antibiotic resistance genes

apply to all of the microorganisms found

in the sample and very cool fact

microbes can rapidly share DNA under

stress so the presence of antibiotic

resistance to any organism is reason

enough not to use that antibiotic or

antibiotic class in addition to

antibiotics conventional treatment will

also likely include medications like

proton pump inhibitors a proton pump

inhibitor is a drug that stops acid from

being produced in the stomach now some

examples of these would be things like

omeprazol esomeprazol

lansoprazol panol the problem is that we

already know hpylori typically causes

low stomach I acid and this is just

lending to the problem now these proton

pump inhibitors were originally meant to

be utilized shortterm for patients with

active ulcers and really were only meant

to be used for around 6 weeks in length

now what we're seeing is they're used

very frequently and chronically which

can actually lead to a host of other

issues like absorbing calcium and

magnesium gastric polyps vitamin B12

deficiencies the development of an

infection called claustrum diasil

community acquired pneumonia

osteoporosis and kidney disease just to

name a few bismuth is also a medication

that is often utilized and it works by

coating the stomach and protecting any

potential ulcerations from stomach acid

one last medication that you may see

used conventionally are called H2

blockers or histamine blockers now these

medications block histamine which

triggers acid production an example of

this would be sadine and these H2

blockers are typically prescribed for

hpylori infections if a proton pump

inhibitor cannot be utilized for some

reason so that is an overview of the

conventional approach now let's talk

about the functional medicine approach

which is not only very effective but

doesn't come with a lot of the negative

side effects that we see with

conventional therapy so in my opinion as

a practi practitioner the functional

medicine approach is the best approach

first up and this will also be

beneficial with conventional therapies

are probiotics these are beneficial for

repopulating the microbiome with

friendly beneficial bacteria again

whether we're talking about a

conventional or a functional approach

now there are a few specific strains

that have been highlighted in research

for their ability to fight the hpylori

BAC iial infection these are

lactobacillus fermentum lactobacillus

KCI and lactobacillus brebis now there's

also another type of probiotic that is a

yeast based probiotic called sacy's

bardi that also has some data showing

that it is beneficial with hpylori

infections Mastic Gum Mastic Gum comes

from the stem and the leaves of the

mastia tree and clinical studies have

supported and confirmed that it has

bactericidal action against HPI black

human seed has antibacterial properties

against hpor as well and it also has

gastroprotective properties bourine is a

Botanical extract found in various

plants things like Oregon grape root

Barberry and golden seal and it has

potential antimicrobial and

anti-inflammatory properties now

researches actually compare the use of

Bine to conventional quadruple hpylori

therapy which typically includes a

proton pump inhibitor two antibiotics

and bismo and they found that berberine

in comparison to quadruple therapy is

comparable safe and effective olive leaf

not only has antibacterial activity

against H palori it also has

anti-inflammatory properties licorice

research has shown licorice is

effectiveness against eradicating H

pylori and also confirms that licorice

is great for healing ulcers in patients

with hpylori induced ulcerations bismuth

again is a naturally occurring mineral

that is commonly used in functional

medicine treatment protocols because it

exerts Direct bacteriocidal effects on H

palori and helps to heal ulcers hpor

resistance against bismuth has also not

been reported zinc carnosine has been

used as an anti-ulcer supplement for

decades it's also very supportive to the

immune system and to Healing the gut

lining research also shows that

polyphenols in curcumin cranberry garlic

Licorice and brool are effective at

eradicating H palori now let's talk

about digestive support we already

mentioned the fact that it is very

common to have a Mal digestive pattern

because of the low stomach acid that

hpor typically produces so we may

consider supplementing with something

like Bane HCL or hydrochloric acid this

is commonly used as a supplement to Aid

in replacing stomach acid and really

restoring that good acidic environment

in the stomach now Bane HCL can be

supplemented with meals to support that

healthy digestion caution should be used

in patients who do have an active ulcer

or gastritis because that can be

aggravating but otherwise it is safe to

use in patients with hpylori and will

help to restore the stomach acid and

help with digestion other supplements

that you might want to consider that

will help with digestion are digestive

enzymes or digestive bitters these are

going to not only help with the

breakdown of food it will also help with

nutrient absorption what about diet what

do we tell patients with hpor to eat

there is no universally suggested diet

that is known to really expedite the

eradication of H palori now preliminary

research is suggesting that a low nickel

diet may increase eradication rates in

patients receiving antibiotic therapy

but what we really need to focus on is a

well-balanced Whole Foods diet we want

to consider a diet that is rich in

probiotics things like kefir kombucha

Sauer craft yogurt and fermented veggies

a diet high in omega-3 fatty acids like

wild caught fish flax seed chia

seeds honey especially Manuka honey in

moderation can be very supportive to

patients with hpor incorporating things

like berries raspberries strawberries

blackberries blueberries these have lots

of polyphenols and antioxidants also

cruciferous vegetables especially

broccoli and broccoli sprouts things to

consider avoiding are caffeine

carbonated beverages and spicy foods and

finally just some clinical pearls we

want to make sure that we address dental

hygiene in these patients with hpylori

because the mouth can be a reservoir

mouthwashes with things like clove can

be very supportive also consider the

source of exposure where might this

patient have contracted H palori so we

want to make sure that we are educating

on the fact that H palori is highly

transmittable again through saliva feces

and also even vaginal secretions we want

to talk about considering testing and or

treating other family members but we

want to also address Mal digestion and

or that hypochlorhydria pattern if we

suspect that that is present rebuilding

the gastric mucosa by addressing Stress

Management is also very important stress

management techniques that could be

incorporated are things like yoga

meditation deep breathing prayer and

also we want to support healing of that

gut lining with things like glutamine

aloe Licorice and vitamin A I hope that

this information has been helpful and

you can find me at juli andw

wellness.com or on Instagram at Julian

Wellness but for more educational videos

please like And subscribe to Rupa

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