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欧洲幽门螺杆菌治疗共识 5

Search found 149 matches

by barjammar
Sun Aug 12, 2012 10:09 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: empiric salvage therapy
Replies: 9
Views: 9258

Re: empiric (personalized) salvage therapy

The treatment you mention (Om-Met-Tet-Bism) is not bad, and even met-resistant Hp can be killed by it (we don't understand why) so that the cure rate is probably more than 70%. To boost it, I would push the doses of antibiotics and have multiple frequent doses - 3 hourly for example. Bismuth dose ca...
by barjammar
Sun Aug 05, 2012 9:55 pm
Forum: Breath Tests (C14 and C13)
Topic: Breath test in Perth
Replies: 6
Views: 14403

Re: Breath test in Perth

All Perth labs do the urea breath test. Any GP can order it for you. Results usually come back in 3 days.
by barjammar
Wed Jul 04, 2012 4:10 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: ppi intragastric pH after treatment
Replies: 2
Views: 5323

Re: ppi intragastric pH after treatment

Hi, Unless you have a biopsy test and acid measurement in the fasting state, at endoscopy, it is hard to work out what your status is. If the biopsy shows normal numbers of parietal cells the acid should be relatively normal. Read up on atrophic gastritis. You should read this post: https://forums.h...
by barjammar
Wed Jul 04, 2012 4:02 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: H Pylori - After Treatment
Replies: 9
Views: 20027

Re: H Pylori - After Treatment

Several studies have shown that you should wait 28 days after your last tablet - then have the breath test. Sooner than that you might not have sufficient bacteria to show up on the test and you would have a FALSE NEGATIVE result. We don't want that! H.pylori is sometimes a slow growing bacteria. :u...
by barjammar
Sat Jun 30, 2012 10:40 am
Forum: Epidemiology and Transmission ( How do you catch it?) 幽门螺杆菌的传播
Topic: spreading hp
Replies: 2
Views: 10165

Re: spreading hp

Good News: In a study of 60 mothers in Belgium, mothers did not transmit Hp to their babies in the first year. To be careful, just make sure you have good dental hygiene. If there is any doubt, a stool antigen test can check for Hp in a baby (if it was me, I would have this done after I myself was c...
by barjammar
Sat Jun 30, 2012 10:34 am
Forum: Diseases and Symptoms 疾病与症状
Topic: H pylori, moderate gastritis
Replies: 36
Views: 114010

Re: H pylori, moderate gastritis

Hi, let me clarify for you (search my other recent posts as these are common questions): The gastritis may never totally heal but remains in a "mild chronic" form. This is usually asymptomatic. Taking all patients, in double blind trials, 7% are TOTALLY CURED and about 30% are substantially better. ...
by barjammar
Sat Jun 30, 2012 10:23 am
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: Allergies Helicobacter
Replies: 4
Views: 7279

Re: Allergies Helicobacter

Just a quick clarification here: It is normal that "mild chronic gastritis" persists in the stomach for several years after H.pylori treatment. This means that some lymphocytes hang around in the mucosa, but might be "sleeping" although ready to fight if a new infection appears. They don't cause any...
by barjammar
Sat Jun 30, 2012 10:15 am
Forum: Diagnosis and Testing 检测与实验
Topic: false negative on breath test
Replies: 5
Views: 14966

Re: false negative on breath test - POS on stool DNA ??

Re value of stool test (? using DNA) and urea breath test (UBT): I can't see the type of test used for the Metametrix panel of pathogens. PCR/DNA on stool is problematic but maybe they have a very good validated test. Stool antigen is the usual test and that is close to the accuracy of the UBT. As b...
by barjammar
Sat Jun 30, 2012 9:51 am
Forum: Animal Models of Hp
Topic: My Dog Died Because of Undiagnosed HP
Replies: 4
Views: 20089

Re: My Dog Died Because of Undiagnosed HP

Heilmannii Stoeffel Vet Anat Bern Swz.png Thank you for all the information about Megaesophagus in Dogs (ME). The issue might have been that the treatment for the ulcer was not getting down far enough to be absorbed. At least if you are in USA you can perhaps get a new puppy at my daughter's "puppy...
by barjammar
Sat Mar 10, 2012 7:17 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: Second line therapy
Replies: 13
Views: 14273


Re: Second line therapy (IS TETRACYCLINE THE SAME AS DOXYCYCLINE??) I just want to interrupt the conversation on the issue above. Although in the same group, and with identical effects in vitro , these two antibiotics work differently in humans with H.pylori. The tetracycline persists in the stomach...

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