How to prevent Helicobacter Pylori infections?

in:Gut Healthpublished:23 Feb 2022, last updated:17 Mar 2022

This isn't the first time Helicobacter pylori or H. pylori has made headlines. "Can hotpot burn H. pylori to death?" someone recently inquired of me. This is an important question and we should not underestimate this bacteria. Especially those who are about to cook hotpot/steamboat!

Helicobacter pylori is a bacteria that has been around for millions of years and is rooted in the surface of the stomach mucosa in humans. It is also classified as a Group 1 carcinogen by the World Health Organization and the International Agency for Research on Cancer. Helicobacter pylori infection is very common in asian countries. It is found in as high as 50% of the population China and 30% in Singapore.

Hotpot and H. pylori

"Faecal-oral transmission" and "mouth-to-mouth transmission" are the two primary ways H. pylori is passed from person to person. H. pylori is a highly infectious bacteria and if individuals do not pay attention to hygiene during meals, do not utilize typical chopsticks, and share plates with each other, they are vulnerable to infection.

Cross-contamination may result from using the same chopsticks for cooking raw and cooked dishes. When you use the same chopsticks for both, you run the risk of cross-contamination if the food is not completely cooked or if the raw and cooked foods are served on the same pair of chopsticks. This can happen when it comes to hotpot meals.

Can H. pylori cause stomach cancer?

With the increased availability of medical information, many organisations have started including H. pylori testing into their health examinations, educating more and more individuals about this infection. At the same time, many individuals are suffering from "H. pylori anxiety" - a fear of developing stomach cancer.

H. pylori has been linked to a variety of diseases, including peptic ulcers, chronic gastritis, advanced gastric cancer, gastric MALT lymphoma, iron deficiency anaemia, idiopathic thrombocytopenic purpura (ITP), as well as peptic ulcers and chronic gastritis.

At present, numerous causative factors for gastric cancer are thought to exist, with genetic and dietary patterns being the most common. H. pylori infection is just one of the causes. It has been discovered that most individuals do not have any symptoms of H. pylori infection and can clear it on their own by depending on their own immune system, so don't panic too much!

How to prevent H. pylori infection?

The following six methods are recognised worldwide as being effective in preventing H. pylori infection.

  • For family dinners, start using common chopsticks or meal sharing. Chinese families traditionally eat their meals on a single plate, and not using communal chopsticks is generally likely to spread H. pylori
  • Parents should not attempt to eat or chew food with their mouths or blow cold food before feeding it to children
  • Disinfect all of your dishes at home on a regular basis. H. pylori may be killed with great efficacy by using a dishwasher or boiling utensils in a pot
  • Avoid raw food and untreated water
  • Wash your hands frequently
  • Don't share your toiletries and change your toothbrush at least once every three months.
Author's Profile
GASTROENTEROLOGY
Biography

Dr John Hsiang is a Taiwanese who grew up and trained as Gastroenterology specialist in New Zealand. He came to Singapore many years ago with his wife and children as he fell love with the weather, the people and the food!

Dr John completed his specialist training and went to the prestigious Chinese University of Hong Kong and Prince of Wales Hospital where he completed his fellowship training as well as his doctoral research in liver diseases. He published over 25 peer-reviewed papers on liver diseases, H.pylori infection, gut microbiota, hepatitis B and Hepatitis C. 

His specialty interest is fatty liver, colon cancer surveillance and endoscopy. He is interested in empowering patients with the knowledge and know-how to help them to improve their condition and well-being

Credentials And Achievements

Doctor of Medicine (Doctorate)  University of Auckland, New Zealand 2017
Visiting Scholar, Institute of Digestive Diseases, Chinese University of Hong Kong, 2013-2015
Clinical Training Research Fellowship Award, Health Research Council, New Zealand, 2013-2015
Young Investigator of the Year, NZ Society of Gastroenterology, NZ, 2013
Fellow of Royal Australasian College of Physicians (FRACP), Royal Australasian College of Physicians, 2012
Bachelor of Medicine and Surgery, University of Otago, New Zealand, 2003

Financial Declaration

Nil

Accepted Insurance

Corporate - NTUC, GE, Adept Health
Personal - GE Shield

References
  1. https://www.mayoclinic.org/diseases-conditions/h-pylori/symptoms-causes/syc-20356171
  2. https://www.sfa.gov.sg/food-information/risk-at-a-glance/enjoying-hotpot-safely
  3. https://pubmed.ncbi.nlm.nih.gov/32195175/


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