Helicobacter pylori (H. pylori for short) is one of the bacteria (germs) that can live inside your body. Most people who have H. pylori picked it up during childhood.
Scientists estimate that in Western countries, up to 8 in 10 people over 60 have H. pylori infection.1 But only about 2 in 10 younger people are infected.1 In countries with poor living standards, nearly 9 in 10 adults have it, whatever their age.2
No one knows for sure whether some people are more likely to pick up H. pylori than other people. And most people who have H. pylori never get any symptoms. Less than 1 in 5 people who have H. pylori get a stomach ulcer.3
We don't know why some infected people become ill and others don't. Here are some possible reasons.
- Living conditions in childhood. Children are more likely to pick up H. pylori if they grow up in overcrowded living conditions, if they share a bed with a brother or a sister, or if they don't have access to running water.1 But in the United States, due to the improved living standards, fewer people get H. pylori today than they used to.
- Your genes. Some doctors think that your chance of picking up H. pylori and the chance of these bacteria giving you problems with your digestive system (the parts of your body that help break down food) are partly due to one or more genes that you've inherited from your parents. But other doctors don't agree.4
- Your blood group. If you have type O blood, you're more likely to get an ulcer than someone who has type A blood, type B blood or type AB blood.4
To read more about the damage that H. pylori can do to your digestive system, see What is H. pylori?
- Harvey RF, Spence RW, Lane JA, et al. Relationship between the birth cohort pattern of Helicobacter pylori infection and the epidemiology of duodenal ulcer. QJM: Monthly Journal of the Association of Physicians. 2002; 95: 519-525. 12145391
- Axon AT. Helicobacter pylori infection. Journal of Antimicrobial Chemotherapy. 1993; 32 supplement A: S61-S68.
- Graham DY. Can therapy ever be denied for Helicobacter pylori infection? Gastroenterology. 1997; 113 supplement 6: S113-S117. 9207255
- Nguyen TN, Barkun AN, Fallone CA. Host determinants of Helicobacter pylori infection and its clinical outcome. Helicobacter. 1999; 4: 185-197. 10469193
![]() |
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved. |











