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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
No I have not taken rifabutin, levofloxacin, doxycycline or Nitazoxanide before.
Would the other drugs interact with rifabutin in anyway? Would it not boost the cure rate?
Would the other drugs interact with rifabutin in anyway? Would it not boost the cure rate?
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
All these antibiotics come with some degree of damages to your liver and side effects. Let's not try the extreme while you can use the quadruple therapy i mentioned.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
You are extremely helpful, I appreciate it very much.
I have gotten a second opinion from another doctor who has recommended the following, it turns out Rifabutin and Nitazoxanide are not available in the UK.
Rabeprazole 40mg
Levofloxacin 500mg
Tinidazole 500mg
Amoxicillin 1g
Bismuth 300mg
All of the above twice a day for 14 days, there is a strong study in the above regimen: https://www.gastrojournal.org/article/S ... X/abstract
Please can you advice on any changes?
Thank you once again Helico Expert
I have gotten a second opinion from another doctor who has recommended the following, it turns out Rifabutin and Nitazoxanide are not available in the UK.
Rabeprazole 40mg
Levofloxacin 500mg
Tinidazole 500mg
Amoxicillin 1g
Bismuth 300mg
All of the above twice a day for 14 days, there is a strong study in the above regimen: https://www.gastrojournal.org/article/S ... X/abstract
Please can you advice on any changes?
Thank you once again Helico Expert
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
In the article you have just shared.. the two groups used quadruple therapy, that is PPI + Amox + Levo + tini.
The medications you listed consist of 5 drugs.
PPI + Bis + Amox + Levo + tini
I guess bismuth is not very harmful. so you can use it to give this treatment a boost.
It is very important that you have never taken levofloxacin, or ciprofloxacin or moxifloxacin or any other quinolones. They are all the same class.
similarly, tinidazole and metronidazole are the same class.
So the above treatment wont work if you have taken metronidazole or quinolones before.
lastly,
I assume you meant rabeprazole 40mg twice a day, as long as your doctor approves it. then it's ok. otherwise, it should be 20mg 3 times a day
you can increase Amoxicillin 1g to 3 times a day.
you can also increase bismuth 300mg to 3 times a day.
The medications you listed consist of 5 drugs.
PPI + Bis + Amox + Levo + tini
I guess bismuth is not very harmful. so you can use it to give this treatment a boost.
It is very important that you have never taken levofloxacin, or ciprofloxacin or moxifloxacin or any other quinolones. They are all the same class.
similarly, tinidazole and metronidazole are the same class.
So the above treatment wont work if you have taken metronidazole or quinolones before.
lastly,
I assume you meant rabeprazole 40mg twice a day, as long as your doctor approves it. then it's ok. otherwise, it should be 20mg 3 times a day
you can increase Amoxicillin 1g to 3 times a day.
you can also increase bismuth 300mg to 3 times a day.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
Hello Helico Expert,
I just realised that I have taken Metronidazole in my second treatment, what would be my next option considering I have not used Levofloxacin before. Maybe higher dose levofloxacin and amoxicillin and PPI 3 times a day for 10-14 days?
I have used: clarithromycin, tetracycline and metronidazole.
Please if you can advice I would be extremely grateful.
Thank you
I just realised that I have taken Metronidazole in my second treatment, what would be my next option considering I have not used Levofloxacin before. Maybe higher dose levofloxacin and amoxicillin and PPI 3 times a day for 10-14 days?
I have used: clarithromycin, tetracycline and metronidazole.
Please if you can advice I would be extremely grateful.
Thank you
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
In that case you can try PBAC
Rabeprazole 20mg three times a day
Bismuth 300mg three times a day
Amoxicillin 1g three times a day
levofloxacin 500mg two times a day
Please remember that you should always get a doctor to monitor your side effects.
Rabeprazole 20mg three times a day
Bismuth 300mg three times a day
Amoxicillin 1g three times a day
levofloxacin 500mg two times a day
Please remember that you should always get a doctor to monitor your side effects.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
Hello Helico Expert hope you are doing good.
I just had a question that was bothering me for a while, I hope you could answer it please.
If I undertake a h pylori culture, and it shows for example that my h pylori is sensitive to clarithromycin, would that mean I am able to take the drug again with a different approach? Or would the result be useless since I have already taken that drug in my 1st treatment?
Besides I know it’s difficult to culture H pylori even my doctor said it’s only about 50% successful in the UK.
Thank you for your support
I just had a question that was bothering me for a while, I hope you could answer it please.
If I undertake a h pylori culture, and it shows for example that my h pylori is sensitive to clarithromycin, would that mean I am able to take the drug again with a different approach? Or would the result be useless since I have already taken that drug in my 1st treatment?
Besides I know it’s difficult to culture H pylori even my doctor said it’s only about 50% successful in the UK.
Thank you for your support
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
Yes. if the lab is able to culture your HP and it showed that it is sensitive to Clarithromycin, then you are allowed to repeat the use of Clarithromycin even if you had it before.
That's why it is important to do this test.
It is well known that the HP is hard to culture. But if they have the right person, they can do it. Our lab has a culture success rate of over 90%. The labs that we trained also able to achieve similar results.
That's why it is important to do this test.
It is well known that the HP is hard to culture. But if they have the right person, they can do it. Our lab has a culture success rate of over 90%. The labs that we trained also able to achieve similar results.
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- Posts: 21
- Joined: Thu Feb 20, 2020 6:59 am
Re: Extremely low stomach acid
Dear Helico Expert,
I am so desperate now I really need help, h.pylori still detected in my stool after 4 treatments my stomach acid is so low I cannot eat absolutely anything literally nothing at all. I don’t even think I can survive this ordeal, I do not know what is going on.
With all this misery and pain I’m going through doctors and my GP think I’m crazy when I say I have extremely low stomach acid, they do not even believe me at all!! It feels like I’m the only one in the whole UK suffering with this.
Do you have a clinic I can travel to for treatment after lockdown is over? I will spend all my life savings if this is what it takes.
I have tried: clarithromycin, metronidazole, tetracycline, levofloxacin.
I don’t even know if furazolidone or rifabutin is even available in the UK (most likely it is not and if it is the stupid inexperienced doctors would not prescribe it) which means I will just die from hunger. I have no stomach acid at all.
Can you help in anyway please I don’t want to die in this way.
Thank you
I am so desperate now I really need help, h.pylori still detected in my stool after 4 treatments my stomach acid is so low I cannot eat absolutely anything literally nothing at all. I don’t even think I can survive this ordeal, I do not know what is going on.
With all this misery and pain I’m going through doctors and my GP think I’m crazy when I say I have extremely low stomach acid, they do not even believe me at all!! It feels like I’m the only one in the whole UK suffering with this.
Do you have a clinic I can travel to for treatment after lockdown is over? I will spend all my life savings if this is what it takes.
I have tried: clarithromycin, metronidazole, tetracycline, levofloxacin.
I don’t even know if furazolidone or rifabutin is even available in the UK (most likely it is not and if it is the stupid inexperienced doctors would not prescribe it) which means I will just die from hunger. I have no stomach acid at all.
Can you help in anyway please I don’t want to die in this way.
Thank you
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- Site Admin
- Posts: 4501
- Joined: Wed Mar 02, 2011 7:20 am
Re: Extremely low stomach acid
so what antibiotics and dosage did you take in the last treatment?
you mentioned about the HP culture option, is it something that your specialist can offer?
during the treatment, do you feel better?
you mentioned about the HP culture option, is it something that your specialist can offer?
during the treatment, do you feel better?