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Some useful guides
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Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
How long should I wait before doing follow up breath/stool test?

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欧洲幽门螺杆菌治疗共识 5
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Search found 3784 matches

by Helico_expert
Sun Sep 27, 2020 9:41 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: My H. Pylori Story
Replies: 54
Views: 34340

Re: My H. Pylori Story

hmm.. it's not good waiting for a recovery if H. pylori still present. so if you had not done so, first thing is to find out if you still have H. pylori. if you are still positive, then focus on how to get rid of the antibiotic resistant strain if you are already negative of H. pylori, then you can ...
by Helico_expert
Sun Sep 27, 2020 9:35 am
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: Penicillin allergy
Replies: 1
Views: 109

Re: Penicillin allergy

it's not good to stop the treatment midway. So try to complete your metronidazole, clarithromycin, bismuth, pantoprazole treatment. This combination looks good. Sometimes, the resistance can be overcome by having strong antibiotics combination.
by Helico_expert
Sun Sep 27, 2020 9:32 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Ongoing Daily Symptoms GI Map
Replies: 1
Views: 194

Re: Ongoing Daily Symptoms GI Map

If you have not done an endoscopy, perhaps that is what you need to do. Get a histology report and see if you still have H. pylori. Blood test is usually very accurate for negative result. GI map and PCR are based on DNA testing, which sometimes (actually very common) can lead to false positive. bre...
by Helico_expert
Sat Sep 26, 2020 10:29 am
Forum: Ideas for Resistant H.pylori Infections
Topic: Extremely low stomach acid
Replies: 44
Views: 27442

Re: Extremely low stomach acid

Amoxicillin and Levofloxacin are good combination.

However, make sure your doctor give you enough dose of PPI. We normally prescribe 20mg of rabeprazole, 3 times a day.

multiple dose PPI is better than single dose

finally. if you can add bismuth to your treatment, it'll boost the success rate.
by Helico_expert
Fri Sep 25, 2020 8:48 am
Forum: Dyspepsia
Topic: Symptoms after H. Pylori eradication
Replies: 5
Views: 857

Re: Symptoms after H. Pylori eradication

yea, insomnia can be tough. You probably need to speak to a sleep specialist. Cant help you much with this problem here.
by Helico_expert
Thu Sep 24, 2020 11:59 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Do multiple failed Hp treatments make my Hp more and more resistant?
Replies: 12
Views: 2413

Re: Do multiple failed Hp treatments make my Hp more and more resistant?

Amoxicillin and Rifabutin are good combination.
However, it'll be better if you can add bismuth in the treatment.

Also, ask your doctor for high dose PPI. we normally prescribe rabeprazole 20mg TID.
by Helico_expert
Thu Sep 24, 2020 8:21 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Do multiple failed Hp treatments make my Hp more and more resistant?
Replies: 12
Views: 2413

Re: Do multiple failed Hp treatments make my Hp more and more resistant?

The best is still bacterial culture test. But given that it is not easy to culture, molecular testing method can be second choice.

the cost will be different from country to country, depending on your service provider.
by Helico_expert
Wed Sep 23, 2020 8:17 am
Forum: Dyspepsia
Topic: Symptoms after H. Pylori eradication
Replies: 5
Views: 857

Re: Symptoms after H. Pylori eradication

Can you take B12 supplement?
famotidine is a good alternative to pantoprazole.

47 years old is still young. inflammation can take some time to recover.
by Helico_expert
Mon Sep 21, 2020 12:29 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Wheeze and H. Pylori Eradication
Replies: 3
Views: 912

Re: Wheeze and H. Pylori Eradication

to get accurate follow up result, you need to stop all medications for at least 14 days.
The longer you wait, the higher the accuracy. This is because we need the survival to build up in numbers. So the more HP, the better the detection.
by Helico_expert
Sun Sep 20, 2020 9:05 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Wheeze and H. Pylori Eradication
Replies: 3
Views: 912

Re: Wheeze and H. Pylori Eradication

Your problem may or may not be because of H. pylori. Since you had quite a heavy antibiotic treatment, and the symptoms persist, suggest that it may not be because of a bacteria infection. But it's good to know that you had done CT and everything came out good. Nevertheless, if it is indeed because ...

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