 Current Helicobacter Pylori infection preferred treatment involves; proton pump inhibitor PPI-based triple or qudrable regimens.Omeprazole,Amoxicillin Clarithromycin is one of a global standard care for confirmed H.pylori infection .Metronidazole MTZ is used instead of Amoxicillin or Clarithromycin in cases of allergy or resistance . 