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Some useful guides
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Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
How long should I wait before doing follow up breath/stool test?

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指南
如何贴文?
欧洲幽门螺杆菌治疗共识 5
第五次全国幽门螺杆菌感染处理共识报告
用药后,多久以后可以再做吹气测试?

Search found 149 matches

by barjammar
Sat Mar 10, 2012 7:04 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: Treatment of H. pylori after two treatment failures
Replies: 1
Views: 3655

Re: Treatment of H. pylori after two treatment failures

Hi Joanna, Please read the article linked at the end of my post. Your options are limited however I suggest: maximise the dose of PPI, reuse amoxicillin (those old rules about interference between antibiotics are not especially relevant to Hp), consider bismuth/tetracycline/furazolidone/amoxicillin/...
by barjammar
Mon Mar 05, 2012 6:49 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Which is the most suitable treatment for my gastritis?
Replies: 2
Views: 4864

Re: Which is the most suitable treatment for my gastritis?

This type of mild gastritis can be the remnants of past Helicobacter. It gradually improves over several years but never completely resolves. Think of it like sun-damaged skin. There is no specific treatment so, H2 blockers, proton pump blockers and antacids are all OK. Actually, the symptoms are mo...
by barjammar
Thu Jan 19, 2012 9:39 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: How accurate is the HP breath test. Thanks
Replies: 11
Views: 21748

Re: How accurate is the HP breath test. Thanks

If your symptoms persist use an acid blocker for a few weeks. If no better then you should have an endoscopy because you probably don't have an Hp problem causing your symptoms. Sometimes acid returns to normal or high levels after Hp eradication and you can have more symptoms for a while although y...
by barjammar
Tue Dec 20, 2011 7:10 am
Forum: Diagnosis and Testing 检测与实验
Topic: Accuracy of Breath Tests
Replies: 2
Views: 7543

Re: Accuracy of Breath Tests (UBT)

You are correct in that the test tube system for the C13 UBT is not foolproof. However, if the test tubes do not contain enough CO2, as sometimes happens, the machine will reject the sample and not give a result. The actual amount of breath collected is irrelevant because the machine measures a chan...
by barjammar
Tue Nov 08, 2011 11:03 am
Forum: Everything Else 其他
Topic: New moderator at Hp Lab WA
Replies: 2
Views: 5328

Re: New moderator at Hp Lab WA

Welcome aboard Fanny. :geek:
by barjammar
Wed Oct 12, 2011 8:34 pm
Forum: Diseases and Symptoms 疾病与症状
Topic: Gastric Bypass patient HP positive?
Replies: 5
Views: 10508

Re: Gastric Bypass patient HP positive?

If you have had the stomach rearranged then breath tests probably won't work for Hp. You would need to rely on Stool antigen and serology, or careful biopsy study during endoscopy. If these tests come back negative then it is unlikely that you have Hp. Most likely you will need to be managed by a ga...
by barjammar
Wed Oct 12, 2011 8:29 pm
Forum: Diagnosis and Testing 检测与实验
Topic: To Dr Marshall please
Replies: 2
Views: 5602

Re: To Dr Marshall please

re False negatives tests: Regardless of the strains, the serology (IgG) is usually quite sensitive - about 95%. For each country and age group there may be a preferred test. So a serology developed in USA might not be quite so accurate when used in Japan. There are many strains of H.pylori, and each...
by barjammar
Wed Oct 12, 2011 8:24 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: questions about h pylori medication
Replies: 10
Views: 13157

Re: questions about h pylori medication

Re Cymbalta and trazodone; Cliff, I am not an expert on these two drugs. I believe that clarithromycin can affect other drug metabolism. I suggest you study the relevant manufacturers' web sites - that is what I would have to do but I don't have time today. I can recall a similar question a year or ...
by barjammar
Wed Oct 12, 2011 8:19 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Breath test after treatment-? for Dr. Marshall
Replies: 2
Views: 5524

Re: Breath test after treatment-? for Dr. Marshall

Borderline Breath Test We occasionally do see a borderline result. In most cases, a test which starts > 1000 and ends up <200 will be a negative result. Dr Dye is being thorough. I agree, just repeat the breath test, but make sure you are at least 1 month away from antibiotics and follow all the rul...
by barjammar
Thu Oct 06, 2011 5:12 pm
Forum: Everything Else 其他
Topic: HP & ITP
Replies: 4
Views: 7380

Re: HP & ITP

Just focus on eradication of Hp then see what happens after that. I recall that there is a new publication about this where the actual antibody / tissue antigen cross reaction was identified. It would help predict your outcome better I expect. You will have to look for that yourself as I am busy thi...

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