Return of H.Pylori

About 3 months ago I was treated for H.Pylori by my family doc with amoxicillin, tetracycline, and nexium. I finished all the medication and felt better. Now I fill worst than before and was retested for H-Pylori and was positive. I had a upper GI and showed no ulcer but did have gastritis. I have been given the PYLERA Pac.Tetracycline, metronidazole, and bismuth subcitrate along with aciphex. I have lost weight because of the nausea and have not started the meds for the side effects. Do you think the h-pylori should be treated again and since I already had the tetracycline the first time shouldn't I have been given something else? donna

[Kevin Pho, MD]

There are cases where H Pylori is resistant to the common treatment regimens.  I agree with the suggested antibiotic therapy, and if it doesn't work, you can try a combination of amoxicillin and Biaxin.  Another combination is amoxicillin and Levaquin, or amoxicillin and Rifabutin.

These options can be discussed with your GI physician.  

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin Pho, M.D.
www.kevinmd.com
www.twitter.com/kevinmd