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Excessive stomach acid after treatment

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Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Excessive stomach acid after treatment

Post by Helico_expert »

Hi, there is nothing really to help your stomach heal apart from eating healthy and having a healthy life style.

If PPI works in relieving your symptoms, do continue.
If pantoprazole is not working, you can try other brands, eg. rabeprazole.

TinaSF
Posts: 21
Joined: Sun Nov 01, 2020 1:43 pm

Re: Excessive stomach acid after treatment

Post by TinaSF »

Hi helico expert,
I'm writing to update you on my current status.
I took tetracycline for 9 days and metronidazole for 1 day back in late August. I was told to stop metronidazole after day when I developed peripheral neuropathy side effects and to continue tetracycline. While taking tetracycline, I developed throat tightness and some difficulty swallowing.
I was then misdiagnosed via email that I had oral thrush so I took nystantin and ended up completely losing the ability to swallow for a few days. It has taken almost a year to eat solid food again.
I finally got off of omepraolze 40mg so I could re test for h pylori and was on famotadine and simethicone for 3 weeks and tested negative.
However, I still have all my original symptoms like a stomach tightness, constant belching, inability to pass gas, heart palpitations, gnawing sensation in my stomach, and bloating. Simethicone controls almost all of my symptoms coupled with pepcid.
It's been almost 1 year in August without any improvement in symptoms. My diet is very limited as I'm unable to digest dairy, chocolate, fried foods, tomatoes, garlic, onions, oranges, apples, and the list goes on.
I did an endoscopy immediately after the partial antibiotic treatment. While on 40mg of omeprazole, they found fundic polyps and mild inflammation in my stomach. What do you recommend for me at this point? Should I get another stool test in a few months?
Should I submit to another endoscopy? Any ideas would be helpful. Thank you!!

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Excessive stomach acid after treatment

Post by Helico_expert »

Did your gastroenterologist send a biopsy for histology? if yes, what did the report say about the inflammation? or did they do a specific HP stain? sometimes you can ask the pathologist to bring the slide out for second review.
Did your gastroenterologist check the pH of the gastric juice? sometimes, when the acid level is low, it's hard to detect H. pylori.

Nevertheless, it seems like there is no serious problem from your gastroenterologist. Otherwise he would have mentioned to you.

There is no need for frequently endoscopy. Since there is no major problem, then perhaps once every 12 or 24 months.

if you want to know if HP is still present, dont take any ppi. (it's ok to take H2 blockers). then repeat breath/stool test.

As you mentioned that there is still some inflammation in the stomach according to the endoscopy, perhaps that's why you still have the symptoms. If the histology report says that it's non-active gastritis, then it's a sign of healing. So hopefully through time, you will gradually recover. If the report says it's active gastritis, then something is still causing the inflammation. It could be H. pylori or it could be something else. food allergy?

Imrankhalid
Posts: 30
Joined: Fri Oct 09, 2020 2:29 pm

Re: Excessive stomach acid after treatment

Post by Imrankhalid »

Helico_expert wrote:
Mon Jun 21, 2021 8:19 pm
ok. but remember that you need to stop esomerpazole for 2-4 weeks before the next breath test.
Hi there,

Just an update. The last few months have been a bit unstable with symptoms going back and forth. I have been on and off on PPI but never felt comfortable as bloating and belching is always there. It feels like my stomach has inflammation and acid reflux with bloating. I went to see a couple of GIs and they both advised for Endoscopy and colonoscopy to thoroughly check inside. They will take a biopsy for H pylori. Is there anything you would advise to be mindful of? I will let you know once my results are ready.

Thanks

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Excessive stomach acid after treatment

Post by Helico_expert »

you will need to stop PPI or any antibiotics for at least 2 weeks.

I assume your doctor will perform a rapid urease test and order and histology report on both antrum and corpus.

Imrankhalid
Posts: 30
Joined: Fri Oct 09, 2020 2:29 pm

Re: Excessive stomach acid after treatment

Post by Imrankhalid »

Hi there,

Thanks for your insights. Yes, I was off on PPI for the last 3 weeks. Done the procedure yesterday and sharing with you an initial report. The GI said nothing serious except mild Gastritis and some erosions, which seems to be healing. He has taken a biopsy for culture and the results will be ready in the next 7 - 10 days. Sharing with you (attached) an initial report of the procedure for your insights, please. He did not advise of any medications but stressed to keep a healthy diet with less wheat and carbs. Thanks
Attachments
Endoscopy + Clonoscopy - initial report - 21 Sept.jpg

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Excessive stomach acid after treatment

Post by Helico_expert »

looks good. looking forward to your further report

TinaSF
Posts: 21
Joined: Sun Nov 01, 2020 1:43 pm

Re: Excessive stomach acid after treatment

Post by TinaSF »

Dear Helico Expert,
I'm writing to thank you for your advice.

As a quick summary, I was diagnosed with h pylori last summer. I ate at a restaurant several weeks prior and had severe nausea and vomiting a few hours later. The nausea lasted for a week after.
One morning during the early days of covid lockdown, I woke up with tremendous stomach pain and burning. It felt like an ulcer (which I had experienced in my 20s from naproxin/nsaid). I started taking pepcid and met virtually with a gastroenterologist who advised me to up the dosage when I wasn't finding any relief or improvement after 3 months of taking pepcid.
I didna stool test for h pylori and was positive. I did an incomplete treatment of metronidazole for 1 day and tetracycline for 9 days, prilosec, and bismuth. I wasn't able to tolerate metronidazole, it gave me peripheral neuropathy symptoms on day 1. The doctor told me to continue with tetracycline but I couldn't do all 14 days because I started experiencing tightness in my throat.
The doctor advised me to stop taking tetracycline, misdiagnosed me via email with oral thrush because I developed slimy white deposits on my mouth but later with a culture it showed that I didn't have oral thrush.
The nystantin caused some nerve problems in my throat and left me without the ability to swallow for a few days.The endoscopy showed no oral thrush and mild inflammation of the stomach lining post h pylori treatment.
i was diagnosed with esophagitis and peripheral neuropathy in my throat.
It has taken a year to swallow solid food again. My throat doesn't feel the same anymore, it's weaker but I'm grateful to be able to eat again. I have reflux which I think also is affecting my throat strength.
I retested for h pylori for a stool test, now a year later, and it's negative. I was on famotadine 20mg.
I used to take prilosec 40mg post treatment and had been suffering from stomach tightness, difficulty breathing, severe bloating, belching, burning sensation in my stomach, and food intolerance and poor food digestion, looser stools.
By then, I reached out to you and you mentioned the possibility of low stomach acid. YOU WERE RIGHT!!
After reducing antacids and getting off of prilosec, I no longer suffer from trapped gas. I used to rely on simethicone to get relief but by reducing antacid intake my symptoms have been going away!!

Thank you for helping me figure out why I was feeling so bad after 1 year of h pylori eradication. Your help was tremendous and I'm grateful to you for your guidance and expert knowledge.

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Excessive stomach acid after treatment

Post by Helico_expert »

I am glad that you are feeling better.

Thanks for sharing the good news here.

Imrankhalid
Posts: 30
Joined: Fri Oct 09, 2020 2:29 pm

Re: Excessive stomach acid after treatment

Post by Imrankhalid »

Helico_expert wrote:
Tue Sep 21, 2021 11:30 pm
looks good. looking forward to your further report
Hi Helico_Expert,

I have got my reports back, please see the attached. My GI said to limit carbs in my diet and take PPI if I experience pain. The good news is that I am free from H.Pylori. Appreciate your feedback and insights on the reports too.

Many thanks
Attachments
Gastric Biopsy.JPG
Histopathology Report 1.JPG
Histopathology Report 2.JPG

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