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Re: H pylori resistance
Posted: Sun Nov 21, 2021 5:55 pm
by hazimali
I agree that antibiotic sensitivity test is the best way to go
Re: H pylori resistance
Posted: Mon Nov 22, 2021 6:40 am
by Rashed9
hazimali wrote: Sun Nov 21, 2021 5:55 pm
I agree that antibiotic sensitivity test is the best way to go
I did sensitivity test but failed so we try third line treatment
Re: H pylori resistance
Posted: Tue Nov 23, 2021 1:01 am
by AMERC
Hi Helico_expert
Is it possible for this bacteria to come back in a few months after successful eradication with antibiotics and ppi?
I got this bacteria last year and went through 2 different 7 day antibiotics +ppi treatments. Finally in March this year my stoll test for the bacteria was negative and just to be sure I did another stool test in May which was also negative. The acidity symptoms gradually reduced and for the last 2 months I was back to normal
However last weekend I probably had more than usual restaurant food which caused Indigestion but this has calmed down although I am now having mild acidity again. Feeling the acid reflux in the chest area. Trying to manage with antacids.
I am hoping its not the bacteria again and it will settle down soon
Re: H pylori resistance
Posted: Tue Nov 23, 2021 3:32 pm
by Helico_expert
Hi,
It's actually very hard to get H. pylori back.
H. pylori is sensitive to many things (eg. salt, chilli, garlic, sugar, etc) and doesnt survive well outside human body.
So we dont believe it is possible to transmit H. pylori via well cooked and spiced food.
It is possible to get it via kissing, especially in the early morning before brushing teeth.
So, just make sure you (and your partner) brush your teeth in the morning, you'll be alright.
Re: H pylori resistance
Posted: Thu Dec 15, 2022 8:19 pm
by Alumni
Hi need help here, doctor in my country alrdy priscribe
First treatment 1. Amoxicillin 1g tid , 2. Clarithromycin TID 3. Ppi rabeprazole TID , check UBT after 1 month , gerd and h pylori positive then second treatment 1. Metrodinazole 500g 3x aday 2. Levofloxacin tid 3. Ppi pantozole 40mg Tid , check on endoscopy , hpylori still positive. Now just finish third line 1. Vocinti ppi Tid, 2. Metrodinazole 500g tid 3. Bismut salt 525mg tid , 4. Tetracycline 500mg qid , and waiting to be tested but feeling a lot of acid in my throat . Since my country doesn't have the antibiotic sensitivity culture for h pylori, any suggestion what should I do?
Re: H pylori resistance
Posted: Sun Dec 18, 2022 10:51 am
by Helico_expert
The third treatment you had is so called PBMT. It has a good cure rate of over 80% among resistant strains. Let's wait for the follow up breath test to see if it works. If possible, please get the raw data of the UBT. It would be useful to know how positive is your positive result.
meanwhile, you can take some antacid or H2 blockers to ease your GERD symptoms. These two medication will not interact with urea breath test and you can stop taking these medications the night before breath test.
Re: H pylori resistance
Posted: Wed Jul 31, 2024 2:38 pm
by otiscavin
Frequent and inappropriate use of antibiotics has led to the development of resistant H. pylori strains. Self-medication and incomplete treatment courses contribute significantly to this problem.
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