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Subject: Re: Facing 3rd treatment for H.pylori
Forum: The Gastroenterology and Liver Diseases Forum
Topic Area: H. Pylori
Posted by HFHSM.D.-rf on December 23, 1998 at 13:04:47:
In Reply to: Facing 3rd treatment for H.pylori posted by DEB on December 12, 1998 at 21:07:08:
Hello again,I submitted several questions a few months ago on treatment for H.pylori that you so graciously replied to.
Just a little background information, in July I was diagnosed with the bacteria after having a EGD with biopsies. I finished one treatment, still had alot of pain and was given another treatment for the H.pylori. You questioned the necessity of the 2nd treatment without having any proof that I still had the "bug", but unfortunately, had started the 2nd treatment before getting your reply. Well, I had my 6 month follow-up EGD this past Tuesday. The doctor told my husband that the gastritis and esophagitis was much inproved but he thought he saw more evidence of H.pylori. I will get the biopsy results on Friday.
My question is: If the biopsy comes back positive again, do I start another round of the quadruple therapy? If two rounds didn't kill the bacteria, what are my alternatives? I'm still in constant pain, for the most part, I can push it in the backgound and maintain my day but there are times when I can hardly deal with it. There doesn't seem to be any pattern to the episodes (eating or fluids-sometimes it occurs when I've had nothing for several hours). The area affected is mid to right upper abdomen sometimes radiating to the middle of my back(an ultrasound was negative for gallbladder). I'm still on 40mg of Prilosec a day. Along with Allegra,Estrace and occasionly inhalers for asthma.
I would greatly appreciated any guidance you can give. Thank you,
DEB ______
dear deb,
before considering another course of therapy, you should be certain that there is H. pyloripresent. Either biopsies or a urea breath test will confirm the presence of infection. If you still have H. pylor and ant there is reason to believe that your symptoms are related to this infection, then therapy should again be considered. This time you should receive different medicines than your previous courses (if possible). This information is presented for educational purposes only. Ask specific questions to your personal physician. HFHSM.D.-rf
8keywords: abdominal pain, h. pylori
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