Private Helicobacter Pylori (H. pylori) Breath Test
A Helicobacter pylori (H. pylori) breath test is a non-invasive test that detects a species of gut bacteria that can cause a range of stomach problems. It can be used to find out if there’s an infection, and to test if any treatment has been effective.
At a glance
- Consultation required
- Next-day availability
- Health insurance
- Self-pay
A Helicobacter pylori breath test (also called a urea breath test (UBT)) is a safe, painless and non-invasive test that detects the presence of a specific species of gut bacteria called Helicobacter pylori (H. pylori).
It can be used to diagnose an active H. pylori infection and also to determine if treatment for the infection has been effective.
What is H. pylori?
H. pylori is a bacterium that can infect the stomach or duodenum (the first part of the small intestine that connects the stomach to the middle part of the small intestine).
Why do I need an H. Pylori breath test?
A gastroenterologist may suggest you have an H. pylori test if you have symptoms of any of these conditions, such as:
heartburn or acid reflux
bloating
frequent burping
nausea or vomiting
loss of appetite
unintentional weight loss
Having H. pylori is a major cause of peptic ulcers, as it decreases the stomach’s protective mucus, making the stomach more susceptible to damage from digestive acids.
H. pylori can also cause:
gastritis
peptic ulcer disease
stomach (gastric) cancer
At Welbeck, this simple, non-invasive test for H. pylori can be performed on site with our expert clinical team, or a postal test can be ordered and taken in the comfort of your own home.
What to expect with Helicobacter Pylori Breath Test
An H. pylori test involves ingesting a substance called urea to see how your body processes it over time.
If H. pylori is present in your stomach, it will convert the urea into carbon dioxide, which can then be measured in your breath.
The test follows these simple steps:
Control sample: The first step of an H. pylori test involves providing a control sample. To collect this, you’ll breathe out into two sample tubes with a straw, and the amount of carbon dioxide found will be used as a baseline to compare against further samples taken during testing.
Drinking the solution: You’ll be asked to drink a solution containing citric acid followed by another solution containing C13 urea.
Second sample: After 30 minutes, a further 2 breath samples will be collected.
The test usually takes around 45 minutes, and for accurate results, you mustn't eat for 6 hours, drink, chew gum, smoke, sleep, or exercise for at least 2 hours before and during the test.
After the test, your result will be shared with your referring clinician within 7 working days.
Welbeck H. pylori postal test vs at-home kits
Welbeck offers a postal H. pylori breath test, allowing you to complete the test at home while still benefiting from specialist-led guidance and clear clinical follow-up.
Although many at-home H. pylori test kits are available, they may vary in quality, accuracy and the level of support provided. Some kits may test for antibodies, which can show previous exposure to H. pylori but may not always confirm whether you currently have an active infection.
With a Welbeck postal H. pylori breath test, you’ll receive clear instructions on how to prepare for and complete your test correctly. Your sample is then analysed by a laboratory, and your results are reviewed with appropriate guidance on what they mean. If your test is positive, you will be advised on the next steps, including treatment options and whether follow-up testing is needed to confirm the infection has cleared.
This gives you the convenience of testing at home, with the reassurance of support from a trusted healthcare provider.
An H. pylori breath test is non-invasive and very low-risk. In rare cases, some mild, temporary gastrointestinal side effects like stomach pain or a change in taste may be noticed.
There are a few things you’ll need to do in preparation for the test to ensure your results are as accurate as possible.
Your consultant will discuss any medications you’re currently taking and advise you on when to stop taking them before the test, if necessary.
These include:
antibiotics: stop taking antibiotics 1 month before your test
proton pump inhibitors: stop taking proton pump inhibitors (PPIs) 2 weeks before your test
H2 receptor antagonists: stop taking H2 receptor antagonists 2 days before your test
pro-motility medicines: stop taking pro-motility medicines 2 days before your test
antacids: avoid taking antacids the day before your test
smoking: stop smoking and vaping the day before your test
fasting: fast for 12 hours before your test. This means not eating or drinking anything except small amounts of water
An H. pylori breath test is non-invasive, and you can go home and start eating and drinking as soon as the test has finished. You’ll be able to resume taking your usual medications straight away.
A laboratory compares the control breath sample with the sample taken after the solution is administered to check for changes in carbon dioxide levels.
positive result: the second sample contains higher levels of tagged carbon dioxide. This confirms an active H. pylori infection, which is usually treated with a targeted course of antibiotics
negative result: there’s no significant difference between the samples. This suggests that you do not have an active infection
Because the test checks for active bacterial activity rather than lingering antibodies, it’s also widely used around 4 weeks after antibiotic treatment to confirm whether the infection has been successfully cleared.
Please contact our Digestive Health centre for pricing.
At Welbeck, our gastroenterologists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
To book an H. pylori breath test, you must be referred by either your GP or a gastroenterologist following a consultation with them. Self-referrals are not accepted for this test.
H. pylori testing can be performed on site with our expert clinical team, or a postal test can be ordered and done from the comfort of your own home. Your consultant will discuss these options with you and advise on the most appropriate test for you.
If you’d like to schedule a consultation with a Welbeck gastroenterologist, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients.
Learn more about the different payment options at Welbeck.
Our specialists
Dr Ana WilsonConsultant Gastroenterologist
Dr Anet SoubieresConsultant Gastroenterologist
Dr Simon PeakeConsultant Gastroenterologist
Dr Aymer PostgateConsultant Gastroenterologist
Dr Lisa DasConsultant Gastroenterologist
Professor Paris TekkisConsultant Colorectal Surgeon
Dr Devinder BansiConsultant Gastroenterologist
Dr Mani NaghibiConsultant Gastroenterologist
Dr Terry WongConsultant Gastroenterologist
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Frequently asked questions
The test is very accurate, with sensitivity and specificity around 90%.
H. pylori breath test results are usually available within a few days. Your consultant will let you know when to expect your results and explain what they mean.
You may need to stop taking certain medicines before an H. pylori breath test, as some medications can affect the accuracy of your results. These may include:
antibiotics
proton pump inhibitor
H2 receptor antagonist
pro-motility medicines
antacids
Your consultant will discuss any medicines you are currently taking and advise you on when, or whether, you need to stop them before your test.
You should follow the preparation instructions given by your clinic. Some providers may advise avoiding toothpaste, mouthwash, chewing gum, or mints on the morning of the test, as these could interfere with the sample. If you are unsure, check with your consultant before your appointment.
You’ll usually need to fast before an H. pylori breath test, which means not eating or drinking for a set period beforehand. In many cases, small amounts of still water may be allowed, but you should avoid other drinks unless your clinic has told you otherwise. Always follow the fasting instructions provided by your consultant.
Yes, you can usually eat and drink as normal after your H. pylori breath test, unless your consultant has advised you otherwise. You should also be able to return to your usual daily activities straight away.
It’s possible to detect H. pylori in stool samples and blood samples, but a breath test is usually preferred as it gives faster results than a stool test and more accurate results than blood tests.
In most people, an H. pylori infection will not cause cancer, but the infection does increase your risk of developing stomach cancer. In untreated infections, the chronic inflammation caused by the bacteria can lead to stomach ulcers and, in some cases, eventually to stomach cancers.
If you’re diagnosed with an H. pylori infection, the most suitable treatment will be recommended by your consultant. Typically, this involves taking a proton pump inhibitor and 2 antibiotics for around 2 weeks. Another breath test may be arranged to check that the infection has been cleared after 4 weeks or so.