Brief Answer:
A repeat endoscopy should be done with culture sensitivity.

Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concern.

As per the history given by you i would consider that you have taken the complete course of therapy for more then two times.

You are a case of antibiotic resistant H. Pylori.The current approach is to make a firm diagnosis, give combination antibiotic and antisecretory therapy, and confirm that the infection has been cured 4 to 6 weeks later. Resistance to metronidazole can frequently be overcome by increasing the dose and duration of treatment with acid suppression. Clarithromycin is the most effective antibiotic against H. pylori but, unfortunately, you are resistant to it. The choice of therapy should be based on local susceptibility patterns. Re-treatment regimens for treatment failure should exclude antibiotics where acquired resistance is expected (i.e., clarithromycin and possibly metronidazole). As you are a treatment failure case repeat endoscopy and culture and susceptibility testingshould be done to find out the resistance and suseptibility of bacteria to antibiotics in your case. Overall, higher doses and longer durations of treatment result in the best cure rates.


Hoever if all the regimens fail salvage therapy regimens such as bismuth or furazolidone quadruple therapy (a bismuth and tetracycline HCl 4 times a day along with a proton pump inhibitor twice a day, and either metronidazole 400 or 500 mg three times daily or furazolidone 100 mg three times daily for 14 days) can be used.

As of now a repeat endoscopy with culture sensitivity should be done.Discuss the above mentioned possibilities with your gastroenterologist.

Acidity ,GERD and acid peptic disorders can stimulate the autonomous nervous system hence can increase the heart rate. However heart rate increase during exertion is a cardiac event and has no relation to your gastric problem.

I hope i asnswered your query well.
In case you need any other advice feel free to follow up.

Regards.

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Brief Answer:
Follow up .

Detailed Answer:
Hi again,
To control autonervous system anxiolytic medicine like Etizolam can be taken for few weeks.They will stop excitation of autonomous nervous system.
Exercise daily for 20 minutes.
Try meditation yoga and Tai chi.
Regards.

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