How can someone with a H Pylori infection lead a better life?

Hello doctor,

I have no known comorbidities. My height is 6 feet, and I weigh 174 lbs. I have generally been active in physical exercises. Two months back I started having a dull constant stomach ache in my upper central abdomen. Since then, my symptoms include not feeling too hungry, burping more than usual, increase in pain in the central abdomen after eating. I stopped eating wheat, dairy, spicy products, etc., for two months. I took alcohol only as a social drinker and stopped that for two months. I have even switched to bottled water for the last 15 days.

Initially, I took homeopathic medicine for a month for a possible ulcer, with no relief. Then I consulted a general physician who gave me table Omeprazole and some anti-spasmodic medicine which I took for a few days. However, the dull pain continued. I underwent abdomen and prostate ultrasounds and blood or urine tests. The tests came normal. I was told I might have gastritis and was given a proton pump inhibitor again, which I took for seven more days.

I then underwent a blood test IgA for Helicobacter pylori on my own, which came positive (52.81 U/ml). I also underwent a separate urine culture test for urinary tract infection on the advice of a physician, which also came positive for Citrobacter koseri bacteria. When I referred these results to my general physician, the doctor said there was no requirement to take any separate medicine for H.pylori and added a tablet Cipla (Cyproheptadine) 500 mg for seven days in my medicine for urinary tract and asked me to continue tablet Pantoprazole (proton pump inhibitor) for gastritis symptoms. I have taken tablet Pantoprazole for the last eight to 10 (empty stomach in the morning) and tablet Cipla 500 (BD) for two days. However, my dull pain and symptoms remain the same.

My queries are as below:-

1. Is there no requirement for any different treatment for H.pylori?
2. Is tablet Cipla 500 mg, which I am taking for UTI (which I think might be a separate problem from stomach pain), also effective against H.pylori infection?
3. Is there a need for taking some other antibiotic in addition to H.pylori ( I understand that H.pylori antibodies do not refer to a current infection. But may I also inform you that I have never earlier taken any antibiotics for seven days or more, especially for H.pylori)? If yes, what?
4. Why may I not be getting any relief?
5. Is there a requirement for me to immediately undergo upper gastrointestinal endoscopy or CT scan since the symptoms persist for two months?

I will be grateful if you can help me because I am very worried since, despite these medicines, my symptoms remain the same.

Warm regards.

Hi doctor,

Thank you for the reply.

Do I need to take antibiotics for H Pylori? Since the doctor said that the tablet Pantoprazole is good enough and there is no requirement for antibiotics for H Pylori. Please clarify the need to take antibiotics for H Pylori.

Thanks and Regards