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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain And Dysphagia Post Treatment For H.pylori Infection?

I was diagnosed with H. pylori by RUT. I completed my 14 day course of triple antibiotic therapy on Dec 22. I am on an antireflux capsule now for total of 6 weeks out of which I have completed 3 weeks. I dont have any pain in chest but I still have the sensation of food being stuck up in the lowe end of of the throat. The EGD showed hiatus hernia but on 2nd opinion with another docotor i was told that there is no hiatus hernia only the opening has been a bit enlarged. What do the symptoms after the treatment suggest
Mon, 17 Oct 2016
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General & Family Physician 's  Response
Hi
Thanks for posting on HCM
Sorry to reply to your query late.Hope you are ok by now.Will still like to reply your query if it may still help you.
Any of the 2 diagnosis from both Doctor could be correct.However, unless i examine you i may not know with certainty what could be the problem.Being treated for H pylori may not stop your symptoms immeidately.Healing is progressive and this is why you had to go on an anti-reflux/anti-secretory for some weeks again after your antibiotherapy.If i were your treating Doctor, i will would have treated as follows:
-Antibiotherapy for 14 days
-Anti-secretory like omeprazole for 21 to 28 days
-Antacid like maalox
-Counseling on home measure to prevent gastitis/GERD
If symptoms do not improve, i send you to a Gastrologist for examination and a fibroscopy or endoscopy.
If you are still struggling with your symptoms, i will advise you see a Gastrologist for evaluation and better management.
Hope this will help
Best regards
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What Causes Chest Pain And Dysphagia Post Treatment For H.pylori Infection?

Hi Thanks for posting on HCM Sorry to reply to your query late.Hope you are ok by now.Will still like to reply your query if it may still help you. Any of the 2 diagnosis from both Doctor could be correct.However, unless i examine you i may not know with certainty what could be the problem.Being treated for H pylori may not stop your symptoms immeidately.Healing is progressive and this is why you had to go on an anti-reflux/anti-secretory for some weeks again after your antibiotherapy.If i were your treating Doctor, i will would have treated as follows: -Antibiotherapy for 14 days -Anti-secretory like omeprazole for 21 to 28 days -Antacid like maalox -Counseling on home measure to prevent gastitis/GERD If symptoms do not improve, i send you to a Gastrologist for examination and a fibroscopy or endoscopy. If you are still struggling with your symptoms, i will advise you see a Gastrologist for evaluation and better management. Hope this will help Best regards