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欧洲幽门螺杆菌治疗共识 5
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用药后,多久以后可以再做吹气测试?

How Much an-acid is enough?

The cure of Hp usually requires antibiotics. Other things have been tried and have a weaker effect.

Moderator: barjammar

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jay
Posts: 7
Joined: Tue Oct 18, 2011 12:25 pm

How Much an-acid is enough?

Post by jay »

Hi Doc,

Just how much antacid s enough for the first round of treatment? I have been put on amoxil, Klacid and Nuxum HP for 7 days. I went to the emergency 2 days ago and the doc there said that the recurrence of symptoms could be due to the fact that I wasnt put on an antacid after the antibiotics treatment....how true is that?
ALso one doc says that he thinks the bloating, loss of appetite and constipation could actually not be related to H.P even though I got well after the treatment for about a week before it all came back again...

J.
Helico_expert
Site Admin
Posts: 4513
Joined: Wed Mar 02, 2011 7:20 am

Re: How Much an-acid is enough?

Post by Helico_expert »

Hi,

some antibiotics are sensitive to acid. look at this slide below, it summarized the effect of antibiotics at different pH.
http://img.medscape.com/slide/migrated/ ... lide18.gif

amoxicillin and chlarithromycin are both quite sensitive to acid and have a half life of less than 5 hrs. whereas, other antibiotics such as metronidrozole is not as sensitive, with half life is about 100 hrs at pH 1.2.

in your case, i think you've got a resistant strain and probably need another set of antibiotics. the first set kill off majority of them and the resistant one just grow back through time. try another sets of treatment and see how it goes.
jay
Posts: 7
Joined: Tue Oct 18, 2011 12:25 pm

Re: How Much an-acid is enough?

Post by jay »

Thanks :) I will await the waiting period and do another test.

Regards

J
kailin
Posts: 3
Joined: Fri Nov 18, 2011 12:17 pm

Re: How Much an-acid is enough?

Post by kailin »

I had no idea that some antibiotics were sensitive to acid. This was an enlightening post and will help to be careful about this fact when I take an antibiotic the next time!! It's good to read informative post like this that we can do our little bit to help get better soon.
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joesmith
Posts: 3
Joined: Wed Apr 04, 2012 9:37 am

Re: How Much an-acid is enough?

Post by joesmith »

in your case, i think you've got a resistant strain and probably need another set of antibiotics. the first set kill off majority of them and the resistant one just grow back through time. try another sets of treatment and see how it goes.Your view is very good, Thank you sharing!
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