H. Pylori Diagnosis

H. Pylori Bacteria
H. Pylori Bacteria

How do I know if I have H. Pylori?

H. Pylori infects 1 person out of every 2. Odds are that you have H. Pylori or know someone that does. Most infected individuals have no problems at all, however a few people will experience some very uncomfortable side effects. The frequency and severity of side effects differs greatly from person to person but can include things such as:

  • Trouble breathing or swallowing
  • Heartburn or acid reflux lasting extended periods of time
  • Dull or sharp stomach pain
  • Stomach cancer
  • And numerous others
  • Peptic ulcer

The reason that the H. Pylori infection rate is so high is that it is easily passed through contact with saliva or fecal matter. Mothers can even pass H. Pylori to their children before they are born. How do you find out if your symptoms are a result of H. Pylori? There are 4 different tests that can be done. Those that experience any symptoms should seek H. Pylori treatment.

H. Pylori Urea Breath Test
H. Pylori Urea Breath Test

H. Pylori Urea Beath Test

This is the easiest, least invasive and most accurate method of testing for H. Pylori infection. The patient swallows a harmless pill filled with radioactive urea. 10-20 minutes later, a breath test is administered to test for the presence of radioactive carbon dioxide. If radioactive carbon dioxide is found, it means that the patient currently has an active H. Pylori infection and should seek treatment. The reason this test works is that when H. Pylori comes in contact with the urea it breaks it down and emits carbon dioxide. The urea breath test is also administered after the use of antibiotics to determine if they have successfully eradicated the H. Pylori bacteria.

Be sure not to eat or drink anything except for water before your test as this can obscure the results. Not knowing I would be tested, I had a Coke before going to the doctor and they needed to do a (painful) blood draw instead.

H. Pylori Blood Test
H. Pylori Blood Test

H. Pylori Blood Antibodies Test

This H. Pylori testing method uses a sample of blood to determine if you are currently infected. The blood sample is tested for H. Pylori antibodies, which your body naturally produces if you have the bacteria. This test should not be used to check if a treatment was effective as the antibodies can remain in your blood stream for many years after infection.

Biopsied Tissue On a Slide
Biopsied Tissue On a Slide

H. Pylori Endoscopy Test

While this test is the most invasive option, it also helps the doctor to evaluate the severity of the peptic ulcer commonly caused by H. Pylori infection. A flexible tube (endoscope) is inserted through the mouth and down into the stomach. The endoscope gives the doctor a live view of the inside of your stomach where they then take a biopsy. The biopsy is placed on a slide and a urea test is performed, not unlike the one described above.If the test is positive, the area on the slide directly surrounding the biopsied tissue will change color.

H. Pylori Stool Test
H. Pylori Stool Test

H. Pylori Stool Sample Test

This is the most recently developed method of testing for H. Pylori. For this H. Pylori test, a small stool sample is taken from the patient. An H. Pylori antibody is used to test for the presence of H. Pylori in the stool. The stool sample test, like the urea breath test, can be used after an antibiotic therapy to determine if treatment was successful.

Testing For H. Pylori At Home

There are number of "do-it-yourself" at home H. Pylori test kits available online and in pharmacies. For example, the Rapid Response H. Pylori Test Kit contains 15 tests and uses a small blood sample. See the blood antibodies test above for a description of how this works. Be aware that many of the H. Pylori testing kits available online are intended for lab use, not home use. For more information on getting rid of H. Pylori, head over to the H. Pylori Treatment hub.

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6 comments

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Property-Invest 6 years ago from London

Hi Nathan. Super hub, super but scary! How did you get onto this subject anyway?


nathanmiller profile image

nathanmiller 6 years ago from Seattle, WA Author

Hey, thanks for the question. I was actually an H. Pylori sufferer myself for about 5 years. My case was pretty extreme compared to most. I could hardly breathe and got very lightheaded from time to time, seemingly for no reason. This would happen at least once a month and lasted anywhere from a day to many weeks. It was basically a constant feeling of suffocation ranging from mild to severe.

Doctors put me on everything from inhalers to anti-anxiety medications but I insisted it wasn't asthma and definitely wasn't anxiety (I'm too carefree for that, haha). I think it was the 5th or 6th doctor I saw that finally figured it out. They put me on antibiotics which helped at first but my symptoms came back after only a month. Apparently I am one of the unlucky 10% that have an antibiotic-resistant strain. Today I keep my H. Pylori in check with natural treatments and by avoiding dairy and foods with high acid content. Exercise also helps a lot.


Cheryl  6 years ago

I have been battling this H. Pylori for 2 years. Always feel sick to my stomach. Have very little appetite but I have to eat. Then the stomach pain comes about a 1/2 hr after eating. Bloating, gas, constipation, and throat feels like it is swollen sometimes. I apparently am also part of that 10% that have an antibiotic-resistant strain. What were your natural treatments? Any suggestions are greatly appreciated.


reflux 5 years ago from USA

There are some symptoms that are as follows: upper abdominal pain,loss of appetite, nausea and vomiting and if severe enough, bleeding into the gastrointestinal tract.


Tony 4 years ago

Rapid Weight Loss is also another symptom of H. Pylori infection.


Josh 3 years ago

cough *affiliate*

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