What should I do if my daughter is infected with Helicobacter pylori?

Patient's question:

My daughter is 18 years old and recently got a thorough check-up and was diagnosed with Helicobacter pylori. The doctor prescribed medication. The first question - the doctor asked me to buy the medicine myself from a pharmacy. Then I looked at the instructions and it said not to adjust the dosage for children, so I didn't give it to her. But should I give it to her? The second question is that today is the first day she started taking the doctor's prescribed medication, and she has a fever and stomach pain. I don't know if the fever is caused by the medication.

Doctor's answer:

According to the latest domestic pediatric Hp infection diagnosis consensus, doctors only consider starting treatment for Hp in the stomach when the following situations reappear. For example, if gastric and duodenal ulcers reappear or if gastric mucosal-associated lymphoid tissue lymphoma is confirmed, it is necessary to eradicate Hp. Additionally, if there is chronic gastritis, refractory iron deficiency anemia of unknown cause, a plan to take medications that damage the gastric mucosa for a long period, or a family history of gastric cancer, eradication treatment for Hp can also be considered. Since infection with Hp does not equal sepsis, eradication treatment has specific indications, and not all children infected with Hp need to be treated with antibiotics.

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