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I Am Repeating The Question I Had Asked Few Days

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Posted on Thu, 23 Jun 2022
Question: I am repeating the question I had asked few days back. There is also a blood test report attached with that question for your review.
Hello Dr RK. This follows my previous questions related to gastritis. I had a H pylori antibody blood test done. Results are attached with my profile. IGA was high but IGG and IGM were negative. Few years back, I had the same blood test done and it was entirely negative.
1) What does the present blood test mean for my gastritis which is not healing for 9 months.
2) Do I have H pylori infection.
3)Should I proceed with H Pylori treatment.
Thank you.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (16 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for getting back to me with more questions.

1. You have chronic active gastritis due to H pylori
2. Yes you have. You can further confirm it with stool antigen test or urea breath test
3. Yes, proceed with H pylori treatment.

Regards,
Dr.R.K
Above answer was peer-reviewed by : Dr. Dr. Yogesh D
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (35 minutes later)
Thank you for your response.
1) My IgA reading is 9.7. This is in the equivocal range of 9 to 11 and below the positive range of greater than 11. Does that still confirm H pylori infection.
2) Would you recommend confirming with breath or stool test or no need for that.
3)What treatment will you recommend. I am presently taking alfuzosin, avodart , omega 3, probiotics, osteobiflex, melatonin, multivitamin, DHEA and cialis. Any interaction with these medications.
Thanks alot.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (19 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
1. Yes, it points more towards H.pylori infection.
2. Yes, confirm it with either breath or stool test.
3. Triple therapy regimen is usually prescribed for H.pylori eradication with good success rate. ( Clarithromycin. PPI, Amoxicillin/Metronidazole). But clarithromycin has serious interaction with alfuzosin and should not be taken together. Likewise clarithromycin has minor interaction with avodart and cialis.
The duration of treatment of H.pylori is 10-14 days. You can discuss with your Urologist about stopping Alfuzosin, Avodart and Cialis for a period of 2 weeks while taking treatment for H pylori and ask for alternate treatment.
Regards,
Dr.R.K>
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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I Am Repeating The Question I Had Asked Few Days

Brief Answer: Answer given below Detailed Answer: Hi, Thanks for getting back to me with more questions. 1. You have chronic active gastritis due to H pylori 2. Yes you have. You can further confirm it with stool antigen test or urea breath test 3. Yes, proceed with H pylori treatment. Regards, Dr.R.K