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No retesting
Posted: Sun Dec 30, 2018 2:11 pm
by Theresa
Doc told me yesterday that they don't normally retest...apparently triple therapy has 90% success rate so once you have done that it's good enough. Has anyone heard that before?
Also can hpylori cause stomach discomfort if no gastritis visible? Therefore, is the absence of stomach pain an indication of cure?
Thank you.
Re: Continuing gut pain after triple therapy
Posted: Sun Dec 30, 2018 10:32 pm
by Helico_expert
In Europe, cure rate of triple therapy has dropped below 60% and triple therapy is no longer in use. However, cure rate of triple therapy is still over 80% in Australia. This is mainly due to the antibiotic regulation of the country. So Triple therapy has good cure rate depending on your exposure to antibiotics.
Nevertheless, it is good to get a retest done to be sure. Otherwise, you may be wasting time hoping for a recovery that will never come.
All H. pylori causes inflammation in the stomach (gastritis). However, not all inflammation will lead to symptoms.
Re: Continuing gut pain after triple therapy
Posted: Mon Dec 31, 2018 1:28 am
by Theresa
Thank you for the response. I am in canada and docs suggest protocol is to NOT retest due to high eradication rate. Hmmm. Not sure whether to insist.
I am trying to understand the issue of symptoms or not and whether inflammation is visible. Can a gastroscopy show inflammation or can it exist and insides look normal. I am confused as gastrodoc says stomach pain and digestive issues are not typical symptoms of hpylori. That h pylori typically doesnt have symptoms. Everything I read says H pylori can cause symptoms. Is there a definitive reference site that can be suggested as drs are not fond of Dr Google.
Thank you
Re: Continuing gut pain after triple therapy
Posted: Mon Dec 31, 2018 1:39 am
by Theresa
I should indicate that triple therapy protocol I was on for 14 days was 500 mg flagyl 2x day plus 500 mg biaxin 2x day plus 40 mg esamoprazole
Re: Continuing gut pain after triple therapy
Posted: Mon Dec 31, 2018 10:50 am
by Helico_expert
most people with carry H. pylori without symptoms. I think it is to do with age and health condition. When you are young and healthy, your body is able to tolerate H. pylori, and you do not have symptoms. I believe as you get older, your immune system and repair mechanism deteriorate, then you'll feel the symptoms.
Your treatment is fine. I still think it is best to confirm that your HP is truly eradicated even if the cure rate is high. I know the Inuits in Canada has higher rate of gastric cancer.