How long does gastritis stay around after triple therapy?

[Helico_expert]

you can try switching to famotidine for 2-3 weeks.
it's a milder acid blocker and you can continue to take it until the night before the test.

[msybb]

Thanks Helico_expert. Is it possible that HP is still in stomach if symptoms do improve significantly shortly after triple therapy but later symptoms keep coming back later and get worse?

[Plotun]

One of my symptoms is: when my stomach is not in settled status, I don’t feel hungry but I can feel my stomach is empty. When my stomach is empty and I feel hungry, - I know my stomach is in a better status. Does anyone has the same symptom?

I have the same issue. I feel better when my stomach is empty.

[msybb]

Hi Plotun

When you had symptoms, did you feel hungry when your stomach was empty? When your symptoms improved, did you feel hungry when your stomach was empty?

[msybb]

Hi Helico_expert

Can omeprazole cause potential false negative result of HP test from endoscope biopsy ?

[Helico_expert]

It depends what you are testing during endoscopy.
omeprazole and any acid blocking agent, will suppress H. pylori and lead to false negative test for rapid urease test (commonly done during endoscopy).

Once H. pylori is suppressed, the pathologist may have difficulty staining the H. pylori as the number is too low.

But, gastroenterologist will still be able to see if there is polyps, tumors, ulcers and any other abnormalities; The pathologist will still be able to detect inflammation, mutated gastric linings, such as metaplasia.

[msybb]

Thanks Helico_expert for your useful information. I did biopsy test last May. Apart from superficial inflammation of my entire stomach and HP, no other abnormality was found, such as metaplasia, polyps, tumors, ulcers. My GI intends to do a repeat endoscope test because my symptoms still remain. I do hope this test result will be the same, - no other abnormality apart from inflammation and perhaps HP.

[msybb]

Thanks Helico_exper

My biopsy test last May showed "superficial gastric body-type mucosa demonstrating a mild, predominantly superficial chronic inflammatory infiltration". Is it not too bad?

My understanding is that omeprazole and other anti-acid agents do not impact on HP test if biopsy is conducted in a lab. Am I right?