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Some useful guides
How to post in the forum?
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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Treatment related to h pylori

Honey, Garlic, Chili, Ginseng, Mastic Gum, Broccoli (and many others) have been recommended. If these treatments worked, the originators would have patented them and made millions. Some have been tested but so far no natural therapy has been proven to be a cure. Since there is no scientific evidence that thay do work, we can assume that they do not. The onus must be on the manufacturers to do the work and prove their products.
Plenty of natural products can kill H.pylori in a test tube, but most of these have no effect in actual humans. Generally the effect of natural products is weak, but the field holds promise.

Moderator: barjammar

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Jpp
Posts: 18
Joined: Mon Dec 24, 2018 5:58 pm

Treatment related to h pylori

Post by Jpp »

Hello sir one day in morning time i took clarithromycin ppi but forgot to take the dose of Amixocillin . So i took that dose in the afternoon tym. Is that cause any problem sir?? Plz reply

Helico_expert
Site Admin
Posts: 4489
Joined: Wed Mar 02, 2011 7:20 am

Re: Treatment related to h pylori

Post by Helico_expert »

That's ok. I have also responded in the following link.

viewtopic.php?f=14&t=206141

Jpp
Posts: 18
Joined: Mon Dec 24, 2018 5:58 pm

Re: Treatment related to h pylori

Post by Jpp »

Hello sir, In the past Before many times due to cold cough problems i took AZYTHROMYCIN nd cold tablets usually pharmacist give me these for cold cough. Will it cause resistance to AZYTHROMYCIN for h pylori ? Recently i had tripple therapy OAC. Reply sir

Helico_expert
Site Admin
Posts: 4489
Joined: Wed Mar 02, 2011 7:20 am

Re: Treatment related to h pylori

Post by Helico_expert »

yes, previous exposure to Azithromycin can cause resistant in H. pylori. Resistant to Azithromycin also leads to Clarithromycin. So you cannot take any of these drug anymore in your next treatment.

Jpp
Posts: 18
Joined: Mon Dec 24, 2018 5:58 pm

Re: Treatment related to h pylori

Post by Jpp »

Amoxicillin also cause resistance in h pylori ? because i have also taken Amoxicillin in the first line treatment ... Are there Amoxicillin resistant h pylori strains?
Please guide sir...

Helico_expert
Site Admin
Posts: 4489
Joined: Wed Mar 02, 2011 7:20 am

Re: Treatment related to h pylori

Post by Helico_expert »

H. pylori cannot become resistant to Amoxicillin.

Although there are articles out there that claim about Amoxicillin resistant H. pylori strain, it is because they are using lower cut off value. Since we can take amoxicillin in high concentration, there is no need to use lower cut off value just to claim they are resistant.

Jpp
Posts: 18
Joined: Mon Dec 24, 2018 5:58 pm

Re: Treatment related to h pylori

Post by Jpp »

I am on ppi for years .. if i don't take ppi i have acidity nd sour stomach. How to wean off ppi? Please sir guide me. Any suggestions

Helico_expert
Site Admin
Posts: 4489
Joined: Wed Mar 02, 2011 7:20 am

Re: Treatment related to h pylori

Post by Helico_expert »

first of all, you need to make sure that you are free of H. pylori. the catch is that you need to stop PPI before the breath/stool test. So, you can try switch to ranitidine for a while and see if it helps.

ranitidine is a fast acting acid blocker, but short live in the body. PPI is a slow acting acid blocker and have longer live in the body. PPI normally shows a better inhibition in acid secretion. because ranitidine is short live, you need to time yourself very well, eg. 30 min before the acid comes (usually before meal time).

the advantage of ranitidine is that it will not affect the breath/stool test. you can continue ranitidine until the night before breath/stool test.

your stomach can only truly recover without H. pylori. hence it is important to find out.

Jpp
Posts: 18
Joined: Mon Dec 24, 2018 5:58 pm

Re: Treatment related to h pylori

Post by Jpp »

Has Ranitidine any acid rebound effect after withdrawal like ppi ?

Helico_expert
Site Admin
Posts: 4489
Joined: Wed Mar 02, 2011 7:20 am

Re: Treatment related to h pylori

Post by Helico_expert »

less likely. you can stop ranitidine anytime, but PPI usually requires you to stop gradually.

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