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Functional dyspepsia

Posted: Sat Jun 15, 2019 2:13 am
by Sajal
Is it already established that eradicating h pylori infection would in turn improve dyspepsia symptoms?

I have heard that sometimes eradicating h pylori does not effect dyspepsia symptoms.

Re: Functional dyspepsia

Posted: Sat Jun 15, 2019 2:41 pm
by Helico_expert
In most cases, eradicating H. pylori can relief gastric symptoms.

Not everyone's gastric symptoms is because of H. pylori.

Re: Functional dyspepsia

Posted: Sat Jun 15, 2019 4:55 pm
by Sajal
What if gastric symptoms are started due to inflammation caused by h pylori?

Re: Functional dyspepsia

Posted: Sun Jun 16, 2019 10:34 pm
by Helico_expert
Then in most cases, eradicating H. pylori can relief gastric symptoms.

Re: Functional dyspepsia

Posted: Wed Jun 19, 2019 2:10 am
by Sajal
Thus, there are possibilities that symptoms may persist even after eradicated h pylori.

I have recently decided to go for another endoscopy and stopped taking ppis. This has caused excessive acidity and reflux. What should I do?
I have tried staying on ranitidine but that interferes with my sex life(experienced low libido)

Re: Functional dyspepsia

Posted: Wed Jun 19, 2019 8:29 am
by Helico_expert
hmm.. sounds rare.
You can try other H2 blockers or antacid.

https://www.helico.com/PYtest_guide_2013.pdf

Re: Functional dyspepsia

Posted: Sun Jun 23, 2019 3:25 am
by Sajal
Hello there...

I have observed over time that I have got increased acid secretion after h pylori eradication. I have to go through with acidity, reflux, bloating, and a sensation of closed esophagus.
I didn't know that I also have reflux before I stopped taking ppis as I have decided to once again go for gastroscopy to reconfirm eradication and to get an update regarding inflammation of stomach(gastritis and duodenitis). I get acid reflux usually in the evening time which I have been able to suppress by taking Ranitidine. However, I am too much concerned about this; I already had enough symptoms to look after and now this acidity only adds to my existing sufferings.

I have heard that eradication of h pylori can lead to increased acid secretion let alone GERD. It's been already 3and half months post eradication.

What are your views regarding this helico expert?


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Re: Functional dyspepsia

Posted: Sun Jun 23, 2019 8:23 am
by Helico_expert
it is true that some patients can develop reflux symptom after H. pylori treatment. Hence some doctors dont want to risk it if the H. pylori infection is not symptomatic.

However, I think a reflux is better than ulcer or cancer. So i would rather have H. pylori eradicated. reflux can be controlled by either PPI or H2 blocker.

Since you already booked yourself for an endoscopy, you should take H2 blocker instead of PPI to control your acid. You can continue H2 blocker until the night before endoscopy.

Re: Functional dyspepsia

Posted: Sun Jun 23, 2019 7:32 pm
by Sajal
I hope it is just a rebound effect of stopping ppis or a symptom of inflammation of stomach, and things improves over time.

Re: Functional dyspepsia

Posted: Mon Jun 24, 2019 7:35 am
by Helico_expert
i hope so too. do keep us posted with your update.