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Hi My Name Is XXXXXXX And I Am From Oman
Question: hi
my name is XXXXXXX and i am from oman
i have been dignosed with h.pilory imfection 2 momthns back and i got treatemt for that
but the issue is that i am getting this infection almost evey year ingot this in 2015, 2017 and 2018
i do suffer from stomach probelm since 2008 and i have been treated with following medicin like like PPi and fiybers
also i do have small hamangoma in my liver since 2013 and the size too small
my blood test are normal and good
but the only thing is i cant understand why i am getting h.pilory every time
i am attaching the last endoscopy report to you
my name is XXXXXXX and i am from oman
i have been dignosed with h.pilory imfection 2 momthns back and i got treatemt for that
but the issue is that i am getting this infection almost evey year ingot this in 2015, 2017 and 2018
i do suffer from stomach probelm since 2008 and i have been treated with following medicin like like PPi and fiybers
also i do have small hamangoma in my liver since 2013 and the size too small
my blood test are normal and good
but the only thing is i cant understand why i am getting h.pilory every time
i am attaching the last endoscopy report to you
Brief Answer:
Proper 3 months therapy required.
Detailed Answer:
Hello dear and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice
Most likely cause in most cases is improper management of H.pylori.
H.pylori requires proper 3 months of management including two broad spectrum antibiotic with a strong proton pump inhibitor.
I would suggest you to start a fresh course of-
Tab Amoxicillin 1000 mg twice daily
Tab Clarithromicin 500mg twice daily
Tab Rabeprazole 20 mg once daily.
Initially follow this for 21 days.
After that doses would be tapered down.
Complete treatment would take a minimum of 3 month.
Missing doses or not following treatment properly may result in resistance in bacteria.
Once 3 month course is complete a breath test would be done to see if H.pylori is completely eradicated or not.
All these medicines are easily available in Oman.
Hope I was helpful
Feel free to follow up,
Thanks
Proper 3 months therapy required.
Detailed Answer:
Hello dear and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice
Most likely cause in most cases is improper management of H.pylori.
H.pylori requires proper 3 months of management including two broad spectrum antibiotic with a strong proton pump inhibitor.
I would suggest you to start a fresh course of-
Tab Amoxicillin 1000 mg twice daily
Tab Clarithromicin 500mg twice daily
Tab Rabeprazole 20 mg once daily.
Initially follow this for 21 days.
After that doses would be tapered down.
Complete treatment would take a minimum of 3 month.
Missing doses or not following treatment properly may result in resistance in bacteria.
Once 3 month course is complete a breath test would be done to see if H.pylori is completely eradicated or not.
All these medicines are easily available in Oman.
Hope I was helpful
Feel free to follow up,
Thanks
Above answer was peer-reviewed by :
Dr. Remy Koshy
Hi Doctor XXXXXXX
Thanks for ur reply
U have wrote to me there are two opetions for me for the h.pilory treatment one of them
Was doing the sensitivity test
The other option I could not read it because could not find it
Regards
Thanks for ur reply
U have wrote to me there are two opetions for me for the h.pilory treatment one of them
Was doing the sensitivity test
The other option I could not read it because could not find it
Regards
Brief Answer:
follow up.
Detailed Answer:
Hi,
Option 2-
Ask your doctor to move to second line drug therapy with Rifabutin plus metronidazole plus levofloxacin and Rabeprazole for a minimum of 21 days and then check breath test every week for 2 weeks to see if infection is there or not.
Thanks!
follow up.
Detailed Answer:
Hi,
Option 2-
Ask your doctor to move to second line drug therapy with Rifabutin plus metronidazole plus levofloxacin and Rabeprazole for a minimum of 21 days and then check breath test every week for 2 weeks to see if infection is there or not.
Thanks!
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
what about bismuth regmen is it effective.
Brief Answer:
No
Detailed Answer:
Hello again,
No way old regimen.
Not effective now usually.
Old school medicine.
Thanks
No
Detailed Answer:
Hello again,
No way old regimen.
Not effective now usually.
Old school medicine.
Thanks
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Above answer was peer-reviewed by :
Dr. Kampana
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