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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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(contributed by frostyfeet)
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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?
breath test false positive?
Moderator: barjammar
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- Posts: 6
- Joined: Wed Dec 17, 2014 3:17 pm
breath test false positive?
Hi guys,
I have just been reprimanded by the nurse that i did the ubt test too early. I took triple therapy (amox, clari, and panto) for a week. It has been 2 weeks post treatment and I did the breath test again yesterday and it came back positive today in fact the index is 2x higher than before. I wanted to see the doc but nurse insist that it is not accurate that I should wait another 6 weeks before redoing the test.
Hope to get some expert opinion here, I have been battling this bacteria for like 3-4 months already and wish to end this asap...thanks...
I have just been reprimanded by the nurse that i did the ubt test too early. I took triple therapy (amox, clari, and panto) for a week. It has been 2 weeks post treatment and I did the breath test again yesterday and it came back positive today in fact the index is 2x higher than before. I wanted to see the doc but nurse insist that it is not accurate that I should wait another 6 weeks before redoing the test.
Hope to get some expert opinion here, I have been battling this bacteria for like 3-4 months already and wish to end this asap...thanks...
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- Site Admin
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- Joined: Wed Mar 02, 2011 7:20 am
Re: breath test false positive?
a false positive after two weeks is less likely. I think we are more worried about false negative after treatment. Nevertheless, what is 2x higher? is it still around the borderline? if it is, the result may not be trustable. If it is way higher than borderline, then it is more likely to be a true positive.
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- Posts: 6
- Joined: Wed Dec 17, 2014 3:17 pm
Re: breath test false positive?
That is what i am thinking too, the nurse is too rigid in the "6 weeks duration" without understanding the reasoning.
My index this time is 7.5 compared to previously 3.5. (Cut off index for positive is 2.5)
Could you advise me how to get rid of this bug 100%, I'm so so tired of this, it is getting way too ridiculous! I am not a person who take antibiotics (didn't take for like 2 years probably) how can the triple therapy not work?! Should I ask the doc for quad therapy this time? Btw, does taking vitamin supplements affect the treatment e.g. vitamin D and vitamin Bs as I'm deficient due to this bacteria? Thanks so much for your help.
My index this time is 7.5 compared to previously 3.5. (Cut off index for positive is 2.5)
Could you advise me how to get rid of this bug 100%, I'm so so tired of this, it is getting way too ridiculous! I am not a person who take antibiotics (didn't take for like 2 years probably) how can the triple therapy not work?! Should I ask the doc for quad therapy this time? Btw, does taking vitamin supplements affect the treatment e.g. vitamin D and vitamin Bs as I'm deficient due to this bacteria? Thanks so much for your help.
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- Site Admin
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- Joined: Wed Mar 02, 2011 7:20 am
Re: breath test false positive?
unfortunately there is no 100% method. You should discuss with your specialist about the possibility of organizing another endoscopy, culture the bacteria and perform an antibiotic sensitivity test. I think that will be the most efficient method in kill off your H. pylori. However, even with the guidance of antibiotic sensitivity testing, we have a cure rate of about 95%.
Reference to our publication
http://onlinelibrary.wiley.com/doi/10.1 ... 242.f04t02
Reference to our publication
http://onlinelibrary.wiley.com/doi/10.1 ... 242.f04t02
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- Posts: 6
- Joined: Wed Dec 17, 2014 3:17 pm
Re: breath test false positive?
Guess I will show this to the doctor and ask her to prescribe me parc or pbrc.
I read someone else experience that we should be extremely precise with the antibiotics instructions specifically before meal, is this true? When I got my medications it was stated "before or after meals" hence sometimes I took it before sometimes after. Even the ppi was "1 hour before meal", which later I found out the norm is 30 minuted before meal.
Do all these details matter, coming from a person that want to maximise my chances. Appreciate your replies!
I read someone else experience that we should be extremely precise with the antibiotics instructions specifically before meal, is this true? When I got my medications it was stated "before or after meals" hence sometimes I took it before sometimes after. Even the ppi was "1 hour before meal", which later I found out the norm is 30 minuted before meal.
Do all these details matter, coming from a person that want to maximise my chances. Appreciate your replies!
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- Posts: 6
- Joined: Wed Dec 17, 2014 3:17 pm
Re: breath test false positive?
In addition, helico expert, can I continue taking the vitamin supplements while I am on the quadruple therapy treatments?
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- Site Admin
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- Joined: Wed Mar 02, 2011 7:20 am
Re: breath test false positive?
although we asked patients to take it after meal, assuming that the drugs will stay in the stomach longer, I dont think it matters much. The drugs will be absorbed into the blood anyway.
vitamin supplements should be ok.
vitamin supplements should be ok.
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- Posts: 6
- Joined: Wed Dec 17, 2014 3:17 pm
Re: breath test false positive?
I am really grateful of your advice!
Anyway, I went to see my gastro and showed her the study. I requested for parc but she refused. She insisted of me taking tetra, metronidazole, bismuth and panto instead. If I want parc then she said i should find another doctor lol. Well, according to her, (based on her sample size) so far she has only 1 patient failing this quad therapy, so I will assume it's about 99% then considering she treats about 5 patients a day...she also mention I should trust her more because she has been treating a lot more patients.
its the start of my 4th day on this combo, but frankly, I don't feel any side effects from the drugs in fact, I feel a lot better immediately, hmm, hope it will stay this way!
Anyway, I went to see my gastro and showed her the study. I requested for parc but she refused. She insisted of me taking tetra, metronidazole, bismuth and panto instead. If I want parc then she said i should find another doctor lol. Well, according to her, (based on her sample size) so far she has only 1 patient failing this quad therapy, so I will assume it's about 99% then considering she treats about 5 patients a day...she also mention I should trust her more because she has been treating a lot more patients.
its the start of my 4th day on this combo, but frankly, I don't feel any side effects from the drugs in fact, I feel a lot better immediately, hmm, hope it will stay this way!
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Re: breath test false positive?
I agree with your doctor. She'll know the region best. I am confident that the quadruple therapy she prescribed will work for you. Glad to hear that you suffer little to no side effect. Do keep us updated with your treatment.
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- Posts: 6
- Joined: Wed Dec 17, 2014 3:17 pm
Re: breath test false positive?
I guess I spoke too soon, I'm now in the middle of the treatment and I'm starting to have stomach pain and discomfort from time to time. Is this normal because the first few days I was really feeling a lot better...now it seems to becoming worse...
(Btw I'm prescribed 14 days treatment)
(Btw I'm prescribed 14 days treatment)