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Search found 149 matches

by barjammar
Tue Mar 01, 2022 10:37 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Is there any research Re: H.pylori and late onset Midgut NETS?
Replies: 2
Views: 966

Re: Is there any research Re: H.pylori and late onset Midgut NETS?

OK, Neuro Endocrine Tumours of the G.I. tract are the issue here. Some genetic causes are known (MEN etc.) but usually the actual cause is not exactly known. They tend to be low grade malignancy so can be removed (if only one) but hard to cure if they spread. I have seen only a couple of cases in my...
by barjammar
Tue Jan 11, 2022 1:55 pm
Forum: Diagnosis and Testing 检测与实验
Topic: Negative at urea breath test
Replies: 29
Views: 8274

Re: Negative at urea breath test

This reply is primarily to Abu Bakar Siddiquy but has general interest for anyone unclear about endoscopy findings. I created a brief summary below. Note that nothing is 100% true in medicine. Exceptions sometimes occur and can’t be explained. See the links in wikipedia ( https://en.wikipedia.org/wi...
by barjammar
Wed Mar 03, 2021 10:33 am
Forum: Diagnosis and Testing 检测与实验
Topic: Is gastropothy the same as gastritis?
Replies: 12
Views: 8281

Re: Is gastropothy the same as gastritis?

Gastropathy (spelling corrected) means a vague abnormality not specific for anything. Perhaps increased spacing of cells (which would be oedema - swelling etc.) caused by any kind of chemical insult. Strong alcohol, or NSAID's medications could cause this. Also some white cells might be present in e...
by barjammar
Wed Oct 28, 2020 9:22 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Any studies on management of H pylori in rare situation no antibiotic works to eradicate it?
Replies: 6
Views: 2558

Re: Any studies on management of H pylori in rare situation no antibiotic works to eradicate it?

I have seen a few patients like you over the years. I suggest try to suppress the Hp with something that it cannot become resistant to. I'm thinking of bismuth. This could be pepto-bismol 2 tabs 3 times daily for 1-2 weeks. With or without food doesn't seem to matter. If kidneys are normal then 2 we...
by barjammar
Mon Oct 26, 2020 1:32 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: PPI use and worse COVID-19 outcome, but H pylori and COVID says otherwise?
Replies: 1
Views: 1488

Re: PPI use and worse COVID-19 outcome, but H pylori and COVID says otherwise?

:shock: These are tricky questions and I cannot explain why the proton pump inhibitor would increase the risk of a severe outcome from COVID. Perhaps the virus is able to infect the gut rather heavily if the acid blockade is present. My suggestion is just try very hard not to catch Covid and then, i...
by barjammar
Thu Jun 25, 2020 11:03 am
Forum: Ideas for Resistant H.pylori Infections
Topic: Extremely low stomach acid
Replies: 44
Views: 50907

Re: Extremely low stomach acid

I can't add much to Helico Expert, the advice is good. Also, you seem to have a thorough GI specialist who is working on the problem. If Hp has been eradicated, low acidity is always accompanied by atrophy or extensive metaplasia of the upper half (acid secreting mucosa /corpus mucosa), and I doubt ...
by barjammar
Sat May 30, 2020 3:39 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: H-Pylori After treatment issues
Replies: 10
Views: 12303

Re: H-Pylori After treatment issues

These symptoms are suggestive of duodenitis which is inflammation just past the pylorus usually associated with high acid secretion and a residual inflammation after eradication of H.pylori. Need to snack is a symptom common in people with duodenal ulcer perhaps actually related to the sensitive muc...
by barjammar
Fri Jan 03, 2020 8:31 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Question about pain and gastritis
Replies: 19
Views: 11073

Re: Question about pain and gastritis

Hi after a normal work up the main strategy for this kind of symptom is to exclude anything serious or easily treatable and then expect symptoms to gradually improve, especially in a young person. I don’t encourage the diagnosis of stress as a cause of organic disease because it is pretty much a “de...
by barjammar
Tue Nov 19, 2019 5:33 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Moderator of the Year Award to Dr Tay PhD
Replies: 5
Views: 4325

Moderator of the Year Award to Dr Tay PhD

:D Mild mannered scientist by day, Dr Tay transforms into Helico_Expert and answers the forum questions. There are thousands of entries on this forum which has been going since way back in the 90’s. One day we hope to receive a massive donation to work the forum, but meantime we do it just to help p...
by barjammar
Tue Jun 04, 2019 8:54 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Low libido
Replies: 1
Views: 2098

Re: Low libido

Both drugs but more likely the second could temporarily affect erectile function and/or libido. It’s in the fine print. I suggest you cease acotiamide to see. You could also switch ranitidine to omeprazole 20mg once or twice daily. This is really a discussion for your family doctor. It sounds a bit ...

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