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H. Pylori: About Your Child's Test

Inside view of a stomach with ulcers, with detail of an ulcer on the stomach wall

What is an H. pylori test?

H. pylori tests are used to check for a Helicobacter pylori infection in the stomach and upper part of the small intestine. H. pylori is a type of bacteria that can cause peptic ulcers. But most people who have it in their digestive systems don't get ulcers.

Several tests may be used to check for an H. pylori infection:

Urea breath test.

This test checks your child's breath to see if your child has H. pylori bacteria in his or her stomach.

Stool antigen test.

This test looks for substances in your child's stool that trigger the immune system to fight an H. pylori infection. (These substances are called H. pylori antigens.)

Stomach biopsy.

A small sample (biopsy) is taken from the lining of your child's stomach and small intestine. The samples are checked for H. pylori.

Why is this test done?

H. pylori tests are done to:

  • Find out if an infection with H. pylori bacteria may be causing an ulcer or irritation of the stomach lining (gastritis).
  • Find out if treatment for the infection worked.

How can you prepare for the test?

Urea breath test, stool antigen test, or stomach biopsy

Medicines your child takes may change the results of these tests. Be sure to tell your doctor about all the prescription and over-the-counter medicines your child takes. Your doctor may ask you to stop giving some of your child's medicines.

Urea breath test or stomach biopsy

You will be asked to not give your child anything to eat or drink for a certain amount of time before the breath test or stomach biopsy. Follow the doctor's instructions about how long your child needs to avoid eating and drinking before the test. If your child will have a stomach biopsy, your doctor will tell you how to prepare for it.

What happens during the test?

Urea breath test

A breath sample is collected when your child blows into a balloon or blows bubbles into a bottle of liquid. The doctor or nurse will:

  • Collect a sample of your child's breath before the test starts.
  • Give your child a pill, a liquid, or some water to swallow that contains tagged material.
  • Collect more samples of your child's breath. The samples will be tested to see if they contain material formed when H. pylori comes into contact with the tagged material.

Stool antigen test

For this test, you may be asked to collect your child's stool sample at home. To collect the sample, you need to:

  • Have your child pass stool into a dry container. Either solid or liquid stools can be collected. Be careful not to get urine or toilet paper in with the stool sample.
  • Replace the container cap. Label the container with your child's name, the doctor's name, and the date the sample was collected.
  • Wash your hands well after you collect the sample.
  • Take the sealed container to the doctor's office or to the lab as soon as you can.

Stomach biopsy

A procedure called endoscopy is used to collect samples of tissue from the stomach and the first part of the small intestine. The tissue samples are tested in a lab to see if they contain H. pylori.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. Ask your doctor when you can expect to have your child's test results.

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