H. Pylori and Second Line Theraphy ?

[drivetime]

Hi all! I have stomach problems(Chronic Gastritis and Chronic Duodenitis) for three years however my gastritis is different from other patients with gastritis. I have No burning and no pain ever on my stomach. I daresay my stomach acid is low.Only I have slow digestion,food intolarence (according to Cambridge Food Intolrance Test) gas,indigestion, belcing, rusty tongue, appetite problem and unknown weight lose.. Firstly my doctors tried to treat with traditional PPI Drugs like Lansoprazol but it didn't work.Then I went to another hospital's Gastroenterology Clinics and it was done endoscopy again.It was diagnosed H.Pylori and was given triple therapy treatment

[(PPI+Amoxicillin+Clarithromycin) + Metronidazole] during 7 days;

2*1 PPI+Amoxicillin+Clarithromycin (standart dose)
2*1 Metronidazole (500 mg)

My all health problems is gone with triple therapy treatment in the short time. Chronic fatigue, weakness, coordination problems, poor digestion, stomach gurgling, anxiety (tightness), short breath, voice problems (hoarseness) was gone. My digestion was more speed and easy when I was taking the antibiotic drugs..My appetite was opened..I could eat well everything. But after the end of triple therapy treatment, my all health issues came back.. I went to gastroenterologist again. It was done Breath Test. H.Pylori test was negative but my stomach and health problems was still worse.According to my gastroenterologist; my first treatment regimen is succesfully but I think bacteria is still present...My gastroenterologist said; it is related to psychological reasons.Therefore I went to psychologist and I used a antidepresant drug (citalopram) for 6 weeks but it didn't work for me.

I believe that H.Pylori is still present on my stomach..When I eat natural antibiotic foods (like garlic, propolis), my stomach become normal short-time. Therefore I want to try second line theraphy. I will go to speak another doctor about second line theraphy in the near future.

In your view, is second line theraphy suitable for me ? May it be another infection (for example; yeast infection or another bacterium)? Although other all blood test is normal and I have tried many supplements, my chronic fatigue and weakness is devastating and saddening my life. There is no another way or alternative for my health problems..

[Helico_expert]

Hi,

H pylori causes inflammation in your stomach. after your treatment, it does take time to recover depending on how much damage was done. I suggest you take a second breath test 3 months after your first treatment. If your first treatment truly failed, then 3 months will give enough time for the bacteria to grow back and the result will be reliable.

so in my opinion, you dont need a second treatment until you are tested positive for H. pylori. As a reminder, any antibiotic will change your microbiota in your intestine. if you are unfortunate, you'll get resistant strains. You'll be surprised how quickly they mutate.