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Background: Intestinal infections with Helicobacter pylori mainly occur during childhood. If contracted, these infections may cause chronic gastritis, frequently leading to peptic ulcer disease in later life. This study aims to detect the prevalence of H. pylori infections in patients with active gastritis. Methods: The study included 150 participants who were consuming daily anti-gastritis drugs to reduce the gas and were considered active gastritis patients and were recruited from Pokhara metropolitan-30, from May 2018 to March 2019. They were screened for H. pylori antibodies for detection of infection by the immunochromatographic rapid detection kit, and the data were analyzed using SPSS 2016. Results: Serum anti-Helicobacter pylori antibodies were used to detect the presence of H. pylori in these participants. Among the 150 participants, 54 were males (36%) and 96 were females (64%). The results showed that 47(31.3%) of the patients were positive for anti-H. pylori test. The age group 30 to 40 had the highest prevalence of 21(14.0%). Using public water as a source of drinking water showed the highest prevalence of H. pylori with a P value of 0.04. Conclusion: There should be an additional aspect required for the diagnosis and treatment of gastritis, which is the healthcare providers' and patients' awareness of the cause and most efficient treatments for this medical condition. Using only anti-gastritis drugs is not sufficient; treatment against H. pylori requires the right pathway of treatment by the use of several antibiotics. [ABSTRACT FROM AUTHOR]