Helicobacter Pylori Culture
Does this test have other names?
H. pylori culture
What is this test?
This test finds out if you are infected with Helicobacter pylori bacteria. This is
a common bacterium. It's more common in developing nations and has been linked to
poor hygiene in living conditions, especially for children. Infection is more common
in children than adults.
A culture test means that a tissue sample is placed in a special dish or tube containing
nutrients normally found in the organism's environment. If H. pylori bacteria are
present in the sample, they will grow until they can be seen under a microscope or
in a liquid solution.
Why do I need this test?
You may need this test if your healthcare provider believes you have an H. pylori
infection. Symptoms of an H. pylori infection most often affect the stomach and digestive
tract. They include belly (abdominal) pain, ulcers, and diarrhea. In some children,
the infection is linked with stunted growth. It also increases the risk for stomach
What other tests might I have along with this test?
A culture is the most accurate testing method. But you may have a less invasive test
One example is a breath test. For a breath test, you will drink a liquid or swallow
a capsule that contains a small amount of harmless radioactive material. Your healthcare
provider will then check levels of this material in your breath. If H. pylori bacteria
are present in your stomach, the bacteria will break down this radioactive substance.
Other noninvasive tests for H. pylori look at samples of blood, saliva, or stool.
What do my test results mean?
Test results may vary depending on your age, gender, health history, the method used
for the test, and other things. Your test results may not mean you have a problem.
Ask your healthcare provider what your test results mean for you.
The culture will either be positive or negative for H. pylori bacteria. A positive
test means that you have the bacteria. A negative, or normal, test means that you
do not have it.
How is this test done?
This test is done by taking samples of stomach tissue. The tissue samples are collected
during a process called an endoscopy or EGD. This is done by a doctor called a gastroenterologist.
It is generally done in an outpatient setting. This means you go home the same day.
Before an endoscopy, you will likely be given a sedative. Your throat will be sprayed
with medicine to help keep you comfortable. The provider will place a thin, flexible
tube (endoscope) down your throat and into your stomach. When the tube is in your
stomach, your provider will take samples (biopsies) of stomach tissue. The entire
procedure often takes about 15 minutes.
Does this test pose any risks?
Endoscopy is a fairly safe procedure. You may feel some discomfort when swallowing
the endoscope. This often eases after the endoscope passes through the throat. There
is also a slight risk of a reaction to the sedatives, bleeding from the biopsy, or
upper GI (gastrointestinal) tearing from having an endoscopy.
What might affect my test results?
Your results may also be affected by medicines you may be taking to treat ulcers and
How do I get ready for this test?
For this test:
Don't take medicines such as antibiotics and bismuth subsalicylate for 1 month before
Don't take medicines for gastroesophageal reflux disease (GERD), such as omeprazole or
esomeprazole, for up to 1 week before the test.
Don't take medicines such as ranitidine and famotidine for 24 hours before the test.
Check with your healthcare provider before stopping any medicines. Tell your provider
about all medicines, herbs, vitamins, and supplements you are taking. This includes
medicines that don't need a prescription and any illegal drugs you may use.