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What Causes Recurrence Of Helicobacter Pylori Symptoms After Treatment?
Hello, I was treated for helicobacter pylori 6 months ago, using 2 antibiotics and prilosec. I have been feeling great and started 2 weeks ago with the same symptoms as before. I'll after eating and fatigue. Was told by my doctor there wasn't another test to do and to stay on the prilosec. I have heard of treating it with GEL licorice. But what do you think my next step should be.
Wed, 13 May 2015
Hi,
Welcome to health care magic,
Thanks for the query,
So,you were taking triple drug therapy for h.pylori infection.If you still having no improvement then, either the drug regimen has failed or you might have developed resistant strain of this h.pylori.
You will have to undergo blood culture and sensitivity to detect the sensitivity of the drugs to this h.pylori infection with other investigations as i mentioned in previous answer.
You must consult gastroenterologist for further treatment.
If there is failure of triple drug regimen or resistant strain of h.pylori then one can try alternative triple therapy or quadruple therapy.
This alternative triple regimens I am giving below is not to confuse you but the aim is to clear all the possible regimens what you can try but only after your Gastro-physician's consultation.
1) alternative triple drug therapy
(i) omeprazole 40 mg+ amoxycillin 500 mg + metronidazole400 mg.
(ii) ranitidine 300 mg + amoxycillin 750 mg + metronidazole 500 mg.
(iii) colloidal bismuth subcitrate 120 mg+ tetracycline 500 mg + metronidazole 400 mg.
(2) quadruple therapy
pantoprazole/ rabeprazole 40 mg+ colloidal bismuth subcitrate 120 mg + tetracycline 500 mg + metronidazole 500 mg 4 times.
You can discuss all the above alternative regimens to the gastro-physician and he can prescribe you the best among all regimens according to your medical history and suitability.
Thanks and Regards,
Welcome to health care magic,
Thanks for the query,
So,you were taking triple drug therapy for h.pylori infection.If you still having no improvement then, either the drug regimen has failed or you might have developed resistant strain of this h.pylori.
You will have to undergo blood culture and sensitivity to detect the sensitivity of the drugs to this h.pylori infection with other investigations as i mentioned in previous answer.
You must consult gastroenterologist for further treatment.
If there is failure of triple drug regimen or resistant strain of h.pylori then one can try alternative triple therapy or quadruple therapy.
This alternative triple regimens I am giving below is not to confuse you but the aim is to clear all the possible regimens what you can try but only after your Gastro-physician's consultation.
1) alternative triple drug therapy
(i) omeprazole 40 mg+ amoxycillin 500 mg + metronidazole400 mg.
(ii) ranitidine 300 mg + amoxycillin 750 mg + metronidazole 500 mg.
(iii) colloidal bismuth subcitrate 120 mg+ tetracycline 500 mg + metronidazole 400 mg.
(2) quadruple therapy
pantoprazole/ rabeprazole 40 mg+ colloidal bismuth subcitrate 120 mg + tetracycline 500 mg + metronidazole 500 mg 4 times.
You can discuss all the above alternative regimens to the gastro-physician and he can prescribe you the best among all regimens according to your medical history and suitability.
Thanks and Regards,
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