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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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用药后,多久以后可以再做吹气测试?

Search found 4117 matches

by Helico_expert
Fri Apr 23, 2021 7:44 am
Forum: Diagnosis and Testing 检测与实验
Topic: Biopsy report
Replies: 8
Views: 437

Re: Biopsy report

inactive gastritis is an actual term used in histology. Usually when H. pylori is gone, the immune cells remains but inactive. to date, because of the heavy workload, if the pathologist saw a histology slide that has inactive inflammation, he would immediately claim it as HP negative without further...
by Helico_expert
Thu Apr 22, 2021 11:21 am
Forum: Diagnosis and Testing 检测与实验
Topic: Biopsy report
Replies: 8
Views: 437

Re: Biopsy report

hmmm... i dont agree with your doctor. It may be too late when you have symptoms. Perhaps you want to seek second opinion on this.
by Helico_expert
Tue Apr 20, 2021 11:08 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Need advice to make the right decision
Replies: 1
Views: 64

Re: Need advice to make the right decision

I think you need to confirm that you have H. pylori before the next treatment. Have you tried H2 blockers like famotidine? that should relief your acid symptom. You can continue famotidine until the night before breath test to confirm that you still have H. pylori. meanwhile, you will have to stop a...
by Helico_expert
Mon Apr 19, 2021 8:02 am
Forum: Diagnosis and Testing 检测与实验
Topic: Biopsy report
Replies: 8
Views: 437

Re: Biopsy report

the biopsy taken only represent a very small part of your stomach. So we dont know for sure how severe is your IM. H. pylori only colonise in healthy stomach. So it is normal to see little H. pylori in a biopsy sample that has IM. 30 years old is consider young. So dont worry too much about it. Have...
by Helico_expert
Sat Apr 17, 2021 10:01 am
Forum: Diagnosis and Testing 检测与实验
Topic: Biopsy report
Replies: 8
Views: 437

Re: Biopsy report

I think most importantly is H. pylori detected.
So your best strategy is to get rid of H. pylori.

If you are young, got rid of H. pylori, and the intestinal metaplasia is mild, the intestinal metaplasia can be reversible.
by Helico_expert
Tue Apr 13, 2021 8:36 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Post antibiotics pain and still losing weight
Replies: 3
Views: 353

Re: Post antibiotics pain and still losing weight

you are still very young. If you do not have family history of gastric or colon cancer, perhaps endoscopy or colonoscopy not required.
by Helico_expert
Tue Apr 13, 2021 8:35 am
Forum: Diagnosis and Testing 检测与实验
Topic: Is gastropothy the same as gastritis?
Replies: 12
Views: 1216

Re: Is gastropothy the same as gastritis?

It sounds common. If you find it too acidic, perhaps you can try some H2 blockers such as famotidine. It's not as strong as PPI.
by Helico_expert
Fri Apr 09, 2021 12:43 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: Was it still effective?, and more questions post-treatment
Replies: 5
Views: 996

Re: Was it still effective?, and more questions post-treatment

Did i make the treatment less effective by doing this? Which explains my symptoms coming back? Maybe i didn't eradicate hpylori? Keeping the PPI dose up is one major key to treatment success. However, it's no point guessing if it worked. Wait for 2-4 weeks, then repeat the test to find out if you s...
by Helico_expert
Fri Apr 09, 2021 12:07 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: Will one cap of Pepto alter test results??
Replies: 5
Views: 911

Re: Will one cap of Pepto alter test results??

So its been 2 weeks already. Thats not enough time? I need to wait another 2 weeks? I mean it was literally only 1 spoonful of pepto. Two weeks are actually fine. But the longer you wait, the higher the chance of getting accurate result. I would like to know if I can do a stool test despite taking ...
by Helico_expert
Fri Apr 09, 2021 12:00 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: H pylori acid question
Replies: 6
Views: 1026

Re: H pylori acid question

Good question!
I dont think it has been proven. But that's what I believe it will. I would like to use that to explain how some patients, after eradication of HP, still have mild gastritis.

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