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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?
If you are confirmed with H. pylori, in your convenient time, please help us with the symptoms survey that you are experiencing.
Symptoms survey
(contributed by frostyfeet)
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此网站是非盈利网站。我们会尽最大能力提供任何有关幽门螺杆菌的讯息。您的捐款可以让我们继续帮助更多的病人。
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?
Should you have any problem in posting, registering, or login, please do not hesitate to contact the admin at Marshall.centre(at)gmail(dot)com. In the subject, please use "Help needed for www.helico.com"
Advertisement is not allowed. While we encourage discussion, please try not to promote your website, goods, or unproven treatment here.
This is a non-profit website. We will try our best to help anyone that has question about H. pylori and their treatment. We shall provide the most accurate answer about H. pylori. You can help us by clicking here to keep this forum alive.
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?
If you are confirmed with H. pylori, in your convenient time, please help us with the symptoms survey that you are experiencing.
Symptoms survey
(contributed by frostyfeet)
此网站免费然您阅读。若想分享心得或提问,请先注册。
若有困难注册,请联络站长 Marshall.centre(at)gmail(dot)com。标题请用 "Help needed for www.helico.com"
此网站不允许打广告。我们欢迎任何的讨论。但尽量不要推销没医学根据的网站,商品或治疗方案。
此网站是非盈利网站。我们会尽最大能力提供任何有关幽门螺杆菌的讯息。您的捐款可以让我们继续帮助更多的病人。
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?
Extremely low stomach acid
Moderator: barjammar
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
Thank you for your reply, my last question would be:
1. How long would it take for acid levels to return to normal range following successfully eradicating of H.pylori?
Many thanks
1. How long would it take for acid levels to return to normal range following successfully eradicating of H.pylori?
Many thanks
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
first of all, not everyone infected with H. pylori will have low acid. in fact only a small portion of people with low acid. About 20% of people will have higher acid secretion, which ultimately leads to stomach ulcer.
Usually only when the damage is very severe, usually at older age, the acid secretion cells are destroyed, and the acid level drop. And for these people, the acid cells may never return. This is known as the atrophic gastritis.
Usually only when the damage is very severe, usually at older age, the acid secretion cells are destroyed, and the acid level drop. And for these people, the acid cells may never return. This is known as the atrophic gastritis.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
So you are telling me that once my H.pylori has been eradicated I will have higher acid secretion? I’m totally confused because I have been diagnosed with Hypochlorhydria which is caused by the H.pylori
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
not everyone has higher acid after HP eradication.
For those that have elevated acid secretion, they tend to have better appetite and will gain weight.
As for you, try focus in getting rid of H. pylori, make sure it is really gone, then only you can work on the recovery.
For those that have elevated acid secretion, they tend to have better appetite and will gain weight.
As for you, try focus in getting rid of H. pylori, make sure it is really gone, then only you can work on the recovery.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
Hello Helico expert,
I’m really upset I failed 2 triple therapies, I keep losing weight, extremely low stomach acid lost 20kg as of yet, nothing is digesting, I am really frustrated how can such a bug cause a human to have such low stomach acid is just beyond my imagination.
Gastro doctor put me on a new treatment for 14 days:
Amoxicillin 1g
Lansoprazole 20g
Tetracycline 500mg
Pepto bismol liquid solution
My doctor said if this does not work he will culture my biopsy but said something like it being 50% successful did not understand what he meant.
Do you have any words of hope for me? Because right now I can only see myself passing away god forbid. I just can’t digest anything my stool is pale coloured.
I’m really upset I failed 2 triple therapies, I keep losing weight, extremely low stomach acid lost 20kg as of yet, nothing is digesting, I am really frustrated how can such a bug cause a human to have such low stomach acid is just beyond my imagination.
Gastro doctor put me on a new treatment for 14 days:
Amoxicillin 1g
Lansoprazole 20g
Tetracycline 500mg
Pepto bismol liquid solution
My doctor said if this does not work he will culture my biopsy but said something like it being 50% successful did not understand what he meant.
Do you have any words of hope for me? Because right now I can only see myself passing away god forbid. I just can’t digest anything my stool is pale coloured.
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
I am not a fan of PPI + Bismuth + Amox + Tetra
the report of this regime is conflicting. Some reported good outcome and the other dont.
Perhaps you can try the following instead
Rabeprazole 20mg TID (important to have high dose PPI to increase cure rate. We like rabeprazole better because some people are more resistant to other PPI and require higher dose to be effective. Rabeprazole is less likely to have that issue)
Bismuth 240mg QID
Tetracycline 500mg QID
Metronidazole 400mg TID
14 days treatment
The dosage are slightly higher than others. but the cure rate is good, especially among people who are carrying resistant strain.
There are studies that shown that metronidazole resistant can be overcome by having it together with tetracycline.
lastly, remember to avoid sunlight when taking tetracycline.
the report of this regime is conflicting. Some reported good outcome and the other dont.
Perhaps you can try the following instead
Rabeprazole 20mg TID (important to have high dose PPI to increase cure rate. We like rabeprazole better because some people are more resistant to other PPI and require higher dose to be effective. Rabeprazole is less likely to have that issue)
Bismuth 240mg QID
Tetracycline 500mg QID
Metronidazole 400mg TID
14 days treatment
The dosage are slightly higher than others. but the cure rate is good, especially among people who are carrying resistant strain.
There are studies that shown that metronidazole resistant can be overcome by having it together with tetracycline.
lastly, remember to avoid sunlight when taking tetracycline.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
Thank you for your reply,
Since this is my third therapy, if I fail this therapy what would you advice next? I have already lost 20kg and anything more than this is going to be seriously harming to my body. Would you recommend some good advice? My gastro doctor said that If I fail again he will do a antibiotic resistance test. I’m extremely desperate for some stomach acid.
Thank you for your help
Since this is my third therapy, if I fail this therapy what would you advice next? I have already lost 20kg and anything more than this is going to be seriously harming to my body. Would you recommend some good advice? My gastro doctor said that If I fail again he will do a antibiotic resistance test. I’m extremely desperate for some stomach acid.
Thank you for your help
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
keep us posted with your outcome.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
Breath test positive, I am starting a new cocktail:
Omeprazole 40mg
Rifabutin 150mg
Levofloxacin 500mg
Doxycycline 100mg
Nitazoxanide 500mg
Amoxicillin 1g
Bismuth 525 mg
All of the above twice daily for 14 days, please can you give any advice or if you recommend any changes to the cocktail above?
Thank you
Omeprazole 40mg
Rifabutin 150mg
Levofloxacin 500mg
Doxycycline 100mg
Nitazoxanide 500mg
Amoxicillin 1g
Bismuth 525 mg
All of the above twice daily for 14 days, please can you give any advice or if you recommend any changes to the cocktail above?
Thank you
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
I think that's a bit too much.
prof Marshall doesnt like omeprazole because some people digest it very quickly and need higher dose. Rabeprazole on the other hand is not affected by the metabolic rate.
why not you try the following.
rabeprazole 20mg TID.
Amoxicillin 1g TID
bismuth 240mg QID
rifabutin 150mg BID (I assume you had not taken this before).
prof Marshall doesnt like omeprazole because some people digest it very quickly and need higher dose. Rabeprazole on the other hand is not affected by the metabolic rate.
why not you try the following.
rabeprazole 20mg TID.
Amoxicillin 1g TID
bismuth 240mg QID
rifabutin 150mg BID (I assume you had not taken this before).