Why do I still have heartburn after H Pylori treatment?

Doctor's Answer

Photo of Dr Wai Leong Quan
Dr Wai Leong Quan

Gastroenterologist

It is a common misconception that eradication of H.Pylori infection will stop the heartburn from recurring. Although there is a relationship between this 2 conditions, they are essentially 2 different problems with different treatment options.

The main reason for H.Pylori eradication is to minimise the chance of gastric or duodenal ulcers from developing and to lower the risk of gastric cancer or lymphoma. For some people, eradicating the H.Pylori may come with an apparent worsening of the heartburn symptoms but this should not stop us from eradicating the infection for the obvious reasons above.

If your scope did not suggest any erosions at the junction between your oesophagus and stomach, a course of acid suppression from this family of medicine known as PPI (proton pimp inhibitors) may help from time to time.

For heartburn which still disturbs you a lot, you may want to speak with your specialist again to explore other options including further investigations and treatment. Best regards.

-Dr Quan

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