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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Helicobacter Pylori?

i was diagnosed with h pylori and had antibiotics for a week then had a endoscopy and it was clear but two weeks on all the symptoms are back and now feel as bad again as i did before.

so i assume the bacteria is back although i was told my stomach is very inflamed.
Mon, 6 Jul 2015
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General & Family Physician,  's  Response
Hi & Welcome to HCM.
I can understand your problem.

Inadequate treatment seems to be responsible for the recurring Helicobacter pylori induced acidity related symptoms.

The use of two antibiotics and one PPI commonly referred to as "Triple therapy" should be taken as follows:

Two antibiotics like Amoxicillin with Clarithromycin should be given once daily for at least two weeks. Simultaneously a PPI drug like Pantoprazole to be taken once daily but for at least 4-6 weeks.
This regimen is found be effective in eradicating the H.pylori infection and also promote the healing the peptic ulcer.

At the end of the therapy certain lab tests like Urea breath test is done to check the efficacy of the triple therapy.

Hope to have answered your query.
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What Causes Recurring Helicobacter Pylori?

Hi & Welcome to HCM. I can understand your problem. Inadequate treatment seems to be responsible for the recurring Helicobacter pylori induced acidity related symptoms. The use of two antibiotics and one PPI commonly referred to as Triple therapy should be taken as follows: Two antibiotics like Amoxicillin with Clarithromycin should be given once daily for at least two weeks. Simultaneously a PPI drug like Pantoprazole to be taken once daily but for at least 4-6 weeks. This regimen is found be effective in eradicating the H.pylori infection and also promote the healing the peptic ulcer. At the end of the therapy certain lab tests like Urea breath test is done to check the efficacy of the triple therapy. Hope to have answered your query.