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欧洲幽门螺杆菌治疗共识 5

Search found 147 matches

by barjammar
Wed Mar 03, 2021 10:33 am
Forum: Diagnosis and Testing 检测与实验
Topic: Is gastropothy the same as gastritis?
Replies: 12
Views: 3420

Re: Is gastropothy the same as gastritis?

Gastropathy (spelling corrected) means a vague abnormality not specific for anything. Perhaps increased spacing of cells (which would be oedema - swelling etc.) caused by any kind of chemical insult. Strong alcohol, or NSAID's medications could cause this. Also some white cells might be present in e...
by barjammar
Wed Oct 28, 2020 9:22 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Any studies on management of H pylori in rare situation no antibiotic works to eradicate it?
Replies: 6
Views: 1605

Re: Any studies on management of H pylori in rare situation no antibiotic works to eradicate it?

I have seen a few patients like you over the years. I suggest try to suppress the Hp with something that it cannot become resistant to. I'm thinking of bismuth. This could be pepto-bismol 2 tabs 3 times daily for 1-2 weeks. With or without food doesn't seem to matter. If kidneys are normal then 2 we...
by barjammar
Mon Oct 26, 2020 1:32 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: PPI use and worse COVID-19 outcome, but H pylori and COVID says otherwise?
Replies: 1
Views: 1046

Re: PPI use and worse COVID-19 outcome, but H pylori and COVID says otherwise?

:shock: These are tricky questions and I cannot explain why the proton pump inhibitor would increase the risk of a severe outcome from COVID. Perhaps the virus is able to infect the gut rather heavily if the acid blockade is present. My suggestion is just try very hard not to catch Covid and then, i...
by barjammar
Thu Jun 25, 2020 11:03 am
Forum: Ideas for Resistant H.pylori Infections
Topic: Extremely low stomach acid
Replies: 44
Views: 41685

Re: Extremely low stomach acid

I can't add much to Helico Expert, the advice is good. Also, you seem to have a thorough GI specialist who is working on the problem. If Hp has been eradicated, low acidity is always accompanied by atrophy or extensive metaplasia of the upper half (acid secreting mucosa /corpus mucosa), and I doubt ...
by barjammar
Sat May 30, 2020 3:39 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: H-Pylori After treatment issues
Replies: 10
Views: 10313

Re: H-Pylori After treatment issues

These symptoms are suggestive of duodenitis which is inflammation just past the pylorus usually associated with high acid secretion and a residual inflammation after eradication of H.pylori. Need to snack is a symptom common in people with duodenal ulcer perhaps actually related to the sensitive muc...
by barjammar
Fri Jan 03, 2020 8:31 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Question about pain and gastritis
Replies: 19
Views: 8346

Re: Question about pain and gastritis

Hi after a normal work up the main strategy for this kind of symptom is to exclude anything serious or easily treatable and then expect symptoms to gradually improve, especially in a young person. I don’t encourage the diagnosis of stress as a cause of organic disease because it is pretty much a “de...
by barjammar
Tue Nov 19, 2019 5:33 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Moderator of the Year Award to Dr Tay PhD
Replies: 5
Views: 3447

Moderator of the Year Award to Dr Tay PhD

:D Mild mannered scientist by day, Dr Tay transforms into Helico_Expert and answers the forum questions. There are thousands of entries on this forum which has been going since way back in the 90’s. One day we hope to receive a massive donation to work the forum, but meantime we do it just to help p...
by barjammar
Tue Jun 04, 2019 8:54 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Low libido
Replies: 1
Views: 1563

Re: Low libido

Both drugs but more likely the second could temporarily affect erectile function and/or libido. It’s in the fine print. I suggest you cease acotiamide to see. You could also switch ranitidine to omeprazole 20mg once or twice daily. This is really a discussion for your family doctor. It sounds a bit ...
by barjammar
Mon Apr 08, 2019 8:41 pm
Forum: Antibiotics and Acid Pump Blockers
Topic: Nexium Hp7 triple therapy
Replies: 6
Views: 5462

Re: Nexium Hp7 triple therapy

Its confusing and impossible to work out exactly, but I kind of agree with your doctor. Just take all the antibiotics you have, don't forget the Nexium (more is better so I often give 40 mg 3x daily). If you fail treatment then nothing is lost because it means the bacterium was resistant to clarithr...
by barjammar
Mon Nov 10, 2014 11:57 am
Forum: Everything Else 其他
Topic: Lyme like illness
Replies: 2
Views: 5369

Re: Lyme like illness

Regards Lyme: The ability to pull out PCR DNA fragments from a biological sample is not necessarily proof that the germ exists. Bacteria swap bits of DNA around so a piece could resemble a Lyme DNA yet Lyme might not be present. Similarly, antibodies which show up against Lyme could actually be just...

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