From the Research
Helicobacter pylori infection can potentially cause night sweats, and the most effective treatment involves a 10-14 day course of triple therapy, with a proton pump inhibitor, such as omeprazole 20mg twice daily, plus two antibiotics, commonly amoxicillin 1000mg twice daily and clarithromycin 500mg twice daily, as recommended by the most recent study 1. The diagnosis of H. pylori infection should be made through breath tests, blood tests, stool tests, or endoscopy with biopsy.
- The treatment regimen may vary depending on the patient's specific condition and antibiotic resistance patterns.
- Alternative regimens, such as quadruple therapy with bismuth subsalicylate added or different antibiotic combinations, may be considered for resistant cases, as shown in studies 2 and 3.
- Night sweats may result from the inflammatory response to H. pylori infection, which can trigger cytokine release and affect temperature regulation.
- Other common H. pylori symptoms include abdominal pain, nausea, bloating, and indigestion.
- After treatment, follow-up testing is recommended to confirm eradication, usually performed at least 4 weeks after completing antibiotics, as emphasized in the study 4.
- If night sweats persist after successful H. pylori treatment, other causes should be investigated. The choice of treatment should be based on the most recent and highest quality evidence, prioritizing the patient's morbidity, mortality, and quality of life, as recommended by the study 1.