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Does Helicobacter Pylori Infection Cause Stomach Pain And Bad Breath?

Posted on Fri, 27 Mar 2015

Question: hi
i have syomach helicobacter pylori
it has been with me for long time

i did the breath testing and it was positive 185

i took the medication 2 times and every time i redo the test and still positive
i do not know what to do

Answered by Dr. Dr. Klerida Shehu (2 hours later)

Brief Answer:
I need to know your clinical symptoms...

Detailed Answer:
Hi XXXX,

I have gone through your medical history carefully and understood your concern.

If the breathe testing for H.pylori persists to be positive, it means that:
- you are a chronic carrier
- the treatment did not succeed to eradicate this infection

A more accurate testing is during the biopsy taken during upper endoscopy and culture of bioptic material for H.pylori.

Next, it is important to know your actual symptoms? Are you having heartburn? nausea? bloating? or any other symptoms you might have?

Although patients might be testing positive for H.pylori, if they are not having any symptom, I do not recommend any further treatment. Otherwise, a complete therapy of 4 different medications is advised.

Hope it was of help!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (13 minutes later)

yes i have nausea and bloating immediately after eating
and i also feel my body is not stable just after food. i feel my body is vibrating from stomach and spreads to all body

any way i can live with it
but my main issue that i ve been told it can cause bigger problems if i leave it

Answered by Dr. Dr. Klerida Shehu (20 hours later)

Brief Answer:
Upper endoscopy advised to evaluate stomach lesion

Detailed Answer:
Hi back,

Thank you for providing the requested information.

You are reporting to be experiencing symptoms of h.pylori gastritis. Upper endoscopy is advised to evaluate current changes in the mucosa of the stomach or duodenum.

Furthermore, I need to know what medications you have used so far, in order to determine the other treatment strategy.

The aim is to eradicate the infection and treat related stomach issues.

Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (1 hour later)

hi
ok i will go for endoscopy but not now

for the medication i don not remember last time was some months ago.
i just remember it was antibiotic for 10 days then continue with another medicine till the end of the month

i remember 2nd round antibiotic was klacid

Answered by Dr. Dr. Klerida Shehu (1 hour later)

Brief Answer:
Upper endoscopy is advised to run first before deciding for therapy

Detailed Answer:
Hi back,

To my opinion, it is better to get an upper endoscopy first and to evaluate the changes. After we have the results, we can discuss about possible treatment.

Before running upper endoscopy, it is advised to stop taking PPIs for at least 2 weeks prior to testing as will cause false negative results.

If Klacid was not effective in treating your H.pylori gastritis, then, I advise to start another therapy scheme including: bismuth subsalicylate, metrondidazole, doxycycline, ranitidine or rabeprazole. Another treatment is levofloxacin plus esomeprasol plus amoxicillin for 10-14 days.

All the best!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (31 minutes later)

what is PPIs
for the therapy course you advised at tge end, can i start it now or should i wait until i do endoscopy

Answered by Dr. Dr. Klerida Shehu (20 hours later)

Brief Answer:
Following answers to your queries....

Detailed Answer:
Hi back XXXX,

PPIs are called the proton pump inhibitors drugs. They include Omeprazole, pantoprazole, rabeprazole, etc. They cause inhibition of acidic production by the stomach, thus, improving the symptoms you are currently having.

I advise to run endoscopy first, then, to start PPIs therapy.

All the best!
Dr.Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar