10/09/2026
Marines from 3/4 share a meal with local Iraqis in Haditha and discuss security for the upcoming elections in June 2008.
In many of the Middle Eastern nations, offering tea, food, and hospitality toward guests and strangers is a part of many communities, and is way of demonstrating goodwill, respect, trust and friendship.
Refusing could be perceived as disrespectful, especially if resources are scarce… so, many who’ve served and worked within the local population, have at some point, shared a meal or a cup of tea with the locals.
One of the first preventable (and treatable) infections to cause cancer is: HELICOBACTER PYLORI, also known as h.pylori.
And while h.pylori is not a concern in first world countries like the United States, it is very common and quite prevalent in nations like Afghanistan and Iraq due to the lack of resources, sanitation standards and hand hygiene practices, on top of how easily transmitted the infection is.
One way is through shared eating/drinking practices, and microscopic f***l contamination (contaminated cups, utensils, surfaces, hands, food, etc.)
Our gut microbiome as Americans is tame, and cannot handle the diversity of the Middle East (which explains the GI issues the first few weeks in country). An active h.pylori infection can show no, any or all of the symptoms:
- Bloating
- Frequent burping
- Acid reflux
- Iron-deficiency anemia
- Abdominal pain
- Nausea
- GI pattern changes
The iron-deficiency anemia is important.
Iron-deficiency anemia can be a clue that the body is either losing iron, sometimes through ulcer-related, slow GI bleeding, or not absorbing enough iron to keep up with its needs. In those with an active h.pylori, both mechanisms can occur.
If left untreated long-term, these can escalate into gastric cancer / MALT lymphoma.
Most importantly, if properly identified and treated (yes, this infection is easily treatable), the gastric cancer risk decreases significantly.
Having odd and ongoing symptoms surrounding gut health? Ask your provider about a urea breath test or a GI Map. Find the root cause, fix the problem.