If H. pylori testing is positive in a patient with dyspepsia, what is the next recommended step?

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Multiple Choice

If H. pylori testing is positive in a patient with dyspepsia, what is the next recommended step?

Explanation:
When H. pylori testing is positive in a patient with dyspepsia, the next step is to eradicate the infection with a proton pump inhibitor–based combination therapy (for example, a PPI plus two antibiotics for about 10–14 days, with the exact regimen chosen based on local resistance patterns). Treating the infection often resolves dyspepsia and prevents peptic ulcers and related complications. After completing therapy, confirm eradication with a noninvasive test. Endoscopy is reserved for patients with alarm features (such as weight loss, GI bleeding, progressive dysphagia) or those who do not respond to eradication therapy.

When H. pylori testing is positive in a patient with dyspepsia, the next step is to eradicate the infection with a proton pump inhibitor–based combination therapy (for example, a PPI plus two antibiotics for about 10–14 days, with the exact regimen chosen based on local resistance patterns). Treating the infection often resolves dyspepsia and prevents peptic ulcers and related complications. After completing therapy, confirm eradication with a noninvasive test. Endoscopy is reserved for patients with alarm features (such as weight loss, GI bleeding, progressive dysphagia) or those who do not respond to eradication therapy.

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