Question
My daughter is 3 years old and recently tested positive for Helicobacter pylori infection. The doctor has prescribed medication, but the drug instructions state that it is not suitable for children. I am not sure whether I should give it to her. Moreover, after she started taking the doctor-prescribed medication today, she has developed a fever and stomach pain. I am not sure if this is caused by the medication.
Answer
According to the latest pediatric Hp infection treatment consensus in the country, doctors will only consider starting treatment to eradicate gastric Hp under certain specific circumstances. These include: gastric and duodenal ulcers, confirmed gastric mucosal associated lymphoma, chronic gastritis, refractory anemia of unknown cause, planning to take drugs that damage the gastric mucosa for a long time, or having a family history of gastric cancer. Not all children infected with Hp need radical treatment, as Hp infection does not equal anemia. Before administering any medication to a child, it is essential to consult with a doctor and follow their professional advice. If the drug instructions state that it is not suitable for children, you should immediately contact the doctor to determine whether it is necessary to use that medication or if another option is required.