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Suggest an alternative medication for HP kit taken for H.pylori infection

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Posted on Sat, 14 May 2016
Question: Burning sensation persists even after 7days HP kit treatment for H pylori infection
I am 36 years, diagnosed(endoscopy) minor H Pylori infected. Took 10days HP kit treatment. But even after the treatment I am still suffering from sever burning sensation, acid reflex(cough with colorless sore phlegm). It all started as mint feeling inside stomach, then burning sensation on bottom portion on chest rib ( both sides ) sometimes burning sensation while passing motion(stool). I am suffering from last two months ( started on 1st XXXXXXX 2016)

Treatment summary
9-Jan-2016
Nexium 40, Mucaine Gel
Took Abdomen and Pelvis ultrasound - No Significant abnormality detected

18-Jan-2016
Nepro fast 40
sucrafil o gel
levoflox 250 mg (antibiotics) 5 days

8-Feb-2016
Neksium 10 days
cintodac 10 days
rifagut 550 mg 10 days

2-Feb-2016
Took Endoscopy
Impression: Antral Predominant Gastritis. H Pylori infection

SOMPRAZ HP Kit for 7 days
Neksium 20 twice a day

Please advice. Thanks in advance.
doctor
Answered by Dr. Amit Jain (4 hours later)
Brief Answer:
Take combination of Ilaprazole and famotidine

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.

I can understand your concerns

You have severe GERD and acid peptic disease

To my patients with refractory GERD I prefer a combination which I found very useful.
I will suggest you to take Ilaprazole along with a prokinetic agent levosulpiride.
It comes by the name of Iladac-L od before breakfast. Also take tablet Famotidine 40mg od (Brand name Tab Topcid) od after dinner

Moreover some lifestyle modifications are also required which are:
1.To avoid tea, coffee, oily and spicy food.
2.Also avoid citrus fruits.
3.Among medications take a proton pump inhibitor like rabeprazole and a prokinetic agent like domperidone.
4.Don't lie down at least for 2 hrs after any meal and
5. Don't drink water for at least 2 hrs with any meal.

I hope I have answered your query and this will help you . Wish you a good health

Regards.

Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Amit Jain (3 hours later)
Thanks a lot for your advice.
My main worry is, am I safe from H Pylori infection. Is 7 day antibiotics sufficient? Is there any other test I will have to do to make sure I am safe?

Little confused with many medicine names.
Before Breakfast
Iladac-L od

After Dinner
Famotidine 40mg od (Brand name Tab Topcid) od after dinner

Would be great if you can help me with Medicine names.
Thanks in advance.

doctor
Answered by Dr. Amit Jain (22 hours later)
Brief Answer:
get urea breathe teat or stool antigen to confirm

Detailed Answer:
Welcome back and sorry for delay.

Usually treatment for h.pylori that is hp kit is to be taken for continous 14 days. I will suggest you to confirm whether h.pylori has been finished from your body or not. Either of these two tests urea breathe test or stool antigen test you should undergo to confirm this.

Yes you are right iladac l is to be taken before breakfast and tablet topcid to be taken after dinner

I hope I have satisfied your query and this will help you. Wish you a good health. Take care
Above answer was peer-reviewed by : Dr. Naveen Kumar
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Answered by
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Dr. Amit Jain

Gastroenterologist

Practicing since :2000

Answered : 1524 Questions

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Suggest an alternative medication for HP kit taken for H.pylori infection

Brief Answer: Take combination of Ilaprazole and famotidine Detailed Answer: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. I can understand your concerns You have severe GERD and acid peptic disease To my patients with refractory GERD I prefer a combination which I found very useful. I will suggest you to take Ilaprazole along with a prokinetic agent levosulpiride. It comes by the name of Iladac-L od before breakfast. Also take tablet Famotidine 40mg od (Brand name Tab Topcid) od after dinner Moreover some lifestyle modifications are also required which are: 1.To avoid tea, coffee, oily and spicy food. 2.Also avoid citrus fruits. 3.Among medications take a proton pump inhibitor like rabeprazole and a prokinetic agent like domperidone. 4.Don't lie down at least for 2 hrs after any meal and 5. Don't drink water for at least 2 hrs with any meal. I hope I have answered your query and this will help you . Wish you a good health Regards.