H. Pylori breath test (UBT) was positive, I think you meant the Tissue sample?Helico_expert wrote: ↑Wed Dec 11, 2019 8:36 amYes. It is unfortunately true. Your H. pylori load is probably very little, hence not detected by other UBT.“Active inflammation if neutrophils in glandular or surface epithelial layer, presence of active inflammation after eradication therapy is sign of treatment failure.
I think we need to review all the antibiotics you have taken and formulate a new plan for your next treatment.
Right now I am working on restoring iron levels as the anemia has been wiping me out. I’m taking 325mg ferrous gluconate 2x/day plus 500mg Vitamin C once per day per my GP’s recommendation. They initially gave me bad GI reaction but I seem to have adjusted except for some typical unpleasant side effects.
I am hoping/wondering if restoring iron levels will help give me additional boost in strength to make a future treatment more successful (if there is any effect on the antibiotics treatment at all); I also wonder if oral iron supplementation with H. Pylori still in me will actually help me or only help the bacteria to thrive? I am guessing the sharp decline in my already-declining iron levels/iron stores may have been exacerbated by the high levels of antibiotics and PPIs that I have been on during the past 1-2 years, so I think trying another eradication treatment without proper iron levels in place may make my condition even worse due to absorption issues. What would your thoughts be on that? I am supposed to be on this supplementation regimen for 3 months and then get blood test redone to see what if any improvement has been made. If you don’t think iron supplementation will have much effect on the anemia given active H. Pylori infection, I would want to know rather to not have to continue this regimen as it is quite hard on my system too!
Here is one link that brings this concern: https://www.researchgate.net/publicatio ... nt_Therapy
“ All studies that explored the effect of H. pylori eradication on iron absorption concluded that H. pylori infection is associated with a poorer response to oral iron therapy, that its treatment can enhance the efficacy of oral iron replacement therapy and that the screening for this infection should be considered in patients with unexplained or refractory iron deficiency anemia [4, 8, 16].“
How soon would you suggest another treatment and/or endoscopy? I guess an additional breath test would be unnecessary given the latest Pathology result?