Treatment FAQ

what if after treatment h pylori is still present

by Clovis Keebler Published 2 years ago Updated 2 years ago
image

H. pylori – If symptoms, such as abdominal pain, are still present after H. pylori treatment and you have not done an H. pylori stool antigen test or stomach tissue biopsy (most accurate), wait at least one month and get one of the two tests performed. If negative it’s most likely one of the 9 causes below, but can be #10 as well.

Full Answer

How long does H pylori last after treatment starts?

It’s actually quite common for H pylori symptoms return after a few weeks or months after treatment – I don’t want this to happen to you. Maybe you didn’t feel better at all when you beat H pylori the first time round, or maybe you’re going through treatment now only to feel no better?

Why H pylori symptoms return after treatment?

  • Removing bad foods and bad bugs, and anything else that irritates your gut (you may need to run some tests to identify these factors)
  • Restoring digestive function (taking steps to make sure you digest your food properly)
  • Reinoculating with “good” bacteria using fermented foods, prebiotic or probiotic supplements

More items...

How to cure H pylori naturally?

  • Urea breath test: In this test, the patient has to swallow a capsule containing urea, a carbon and nitrogen containing compound. H. ...
  • Stool antigen testing: In this test, a stool sample is tested for the presence or absence of H. pylori with the help of a specific antibody against H. ...
  • Narrow band imaging: As long standing H. ...

How to treat H pylori naturally at home without antibiotics?

pylori Treatments

  • H. pylori Prevention. ...
  • Precautions. If you suspect that you may have a Helicobacter pylori infection, then it is definitely worth getting a H. ...
  • Final Thoughts. Helicobacter pylori is a really important health topic since it’s so common all across the globe. ...

image

What happens if H. pylori doesn't go away with antibiotics?

If it's not treated, it can sometimes cause ulcers, which are painful, open sores in your stomach lining that bleed. Studies show that people who are infected with H. pylori are also up to 8 times more likely to get a certain kind of stomach, or gastric, cancer.

Can you still have H. pylori after treatment?

H pylori antibodies can remain present long after successful H pylori eradication. Biopsy-based testing including the rapid urease test or histology also can be used to document H pylori eradication.

Why do I still have H. pylori after treatment?

The treatment of H. pylori is not always successful, and one may have a recurrence of the bacterial infection and the ulcer. There also can be another cause for the ulcer not healing such as continued smoking of cigarettes or taking certain ulcer-causing drugs like NSAIDs (ibuprofen, Motrin, naprosyn, aspirin etc.).

Can H. pylori return after antibiotic treatment?

Recurrence of H pylori after a successful eradication is rare in developed countries and more frequent in developing countries[1]. Recrudescence (recolonization of the same strain) rather than reinfection (colonization with a new strain) is considered more likely to be responsible for most of the cases[5].

How long does H. pylori stay positive after treatment?

Negative H pylori status can be confirmed by a UBT at least 2 weeks after cessation of therapy or by stool antigen detection at least 4 weeks after therapy cessation in objectively diagnosed patients and on symptom recurrence in clinically diagnosed patients.

How long H. pylori go away after treatment?

pylori treatment usually includes several medicines. At least two of the medicines are antibiotics that help to kill the bacteria. The other medication causes the stomach to make less acid; lower acid levels help the ulcer to heal. Most people are cured after finishing two weeks of medicine.

How do you get rid of H. pylori completely?

pylori-caused ulcers are treated with a combination of antibiotics and an acid-reducing proton pump inhibitor. Antibiotics: Usually two antibiotics are prescribed. Among the common choices are amoxicillin, clarithromycin (Biaxin®), metronidazole (Flagyl®) and tetracycline.

Is H. pylori completely curable?

H. pylori is treatable with antibiotics, proton pump inhibitors, and histamine H2 blockers. Once the bacteria are completely gone from the body, the chance of its return is low.

Why do I keep getting H. pylori?

People often get H. pylori infection during childhood. Risk factors for H. pylori infection are related to living conditions in childhood, such as: Living in crowded conditions. Living in a home with many other people can increase your risk of H. pylori infection.

How do you know if H. pylori treatment is working?

Guidelines recommend that all patients treated for H. pylori undergo a breath or stool test two weeks after finishing the medication [1-3]. This is done to be sure that the bacteria were killed.

How do you prevent H. pylori from coming back?

H. Pylori PreventionPractice good hygiene and hand washing, especially with food preparation.All patients with chronic gastrointestinal symptoms that may be associated with H. ... Patients should complete the full course of therapy (antibiotics and acid blockers) to maximize the potential for a cure.More items...

When is quadruple treatment for H. pylori?

Nonbismuth quadruple therapy (i.e., concomitant) for 10 to 14 days (the Toronto Consensus strongly recommends 14 days) is another first-line regimen. This regimen may also be used as salvage therapy in patients with persistent H pylori infection when the primary or preferred therapy fails.

Can H. pylori be cured completely?

Medications — No single drug cures H. pylori infection. Most treatment regimens involve taking several medications for 14 days. Most of the treatment regimens include a medication called a proton pump inhibitor.

What are the chances of H. pylori coming back?

The recurrence of H. pylori infection 1 year after eradication was positive in 13 patients, and the 1-year recurrence rate was 1.75%. Likewise, a total of 28 patients had recurrence at 3 years after eradication, and the cumulative 3-year recurrence rate of H. pylori infection was 4.61%.

Can H. pylori bacteria come back?

The rate of H. pylori recurrence after eradication of the microorganism seems to be relatively low, at least in developed countries, where the mean annual reinfection rate is of approximately 3% per patient-year of follow-up, although the risk of reinfection in some developing regions is considerably higher.

When should I recheck after H. pylori treatment?

Testing once is adequate, at least four to six weeks after treatment, and ideally off proton-pump-inhibitor therapy for one to two weeks and off any antibiotics or bismuth products for four weeks to avoid false-negative results.

What are the symptoms of H pylori?

H pylori symptoms return (or never go away) because of: 1 Collateral damage caused by H pylori and other things 2 Ongoing food sensitivities 3 Eating and lifestyle habits 4 Other bad bugs like Candida, SIBO and intestinal parasites 5 Low stomach acid and other digestive problems 6 Reinfection from family members or sexual partners

How many times can you get H pylori?

But these aren’t the only reasons why H pylori symptoms return. Another important reason is that you can get H pylori twice, three times or as many times as you want, really. Reinfection is more common than people think.

Does H pylori go away?

Why some people’s H pylori symptoms never go away in the first place. Doctors rightly treat H pylori when they find it. But they generally don’t consider three important factors that can prevent symptoms from clearing.

Can H pylori cause stomach pain?

With humble honesty, I can tell you that even if you find H pylori in your stomach, it might not be the main reason you feel crap. What do I mean? Well, the main H pylori symptoms – heartburn, tummy pain, reflux, bloating, burping, nausea and so on – can all be caused by other things.

Can you get rid of H pylori?

So you can get rid of H pylori but if you have any of these other critters hanging around in the gut, your symptoms might not budge. This is where a comprehensive home stool test comes in handy. When I did my home tests, I first found H pylori.

Does H pylori heal overnight?

Just because H pylori has been cleared out of your stomach, it doesn’t mean your stomach is healthy all of a sudden. Think about it, if you have an infected wound in your finger, sterilizing the wound doesn’t mean it heals overnight. It’s still red, swollen and sore… and for a good few days or weeks afterwards.

Can antibiotics kill H pylori?

Alas, as you know, the medical system is only intent on giving you the antibiotics you need to kill H pylori. Docs rarely offer any advice on what to do to accelerate digestive healing. If they did, they’d suggest avoiding certain foods and using specific herbs and nutrients.

How long after treatment for H pylori can you get tested?

Your doctor may recommend that you undergo testing for H. pylori at least four weeks after your treatment. If the tests show the treatment was unsuccessful, you may undergo another round of treatment with a different combination of antibiotic medications.

Why do we do a H pylori test?

pylori infection. This test is done to investigate symptoms that may be caused by other conditions such as gastric ulcer or gastritis that may be due to H. pylori. The test may be repeated after treatment depending on what is found at the first endoscopy or if symptoms persist after H. pylori treatment.

What is the most common test for H pylori?

Stool tests. The most common stool test to detect H. pylori is called a stool antigen test that looks for foreign proteins (antigens) associated with H. pylori infection in your stool. Antibiotics, acid-suppressing drugs known as proton pump inhibitors (PPIs) and bismuth subsalicylate (Pepto-Bismol) can interfere with the accuracy of these tests.

How long do you have to stop taking PPI before a blood test?

If you are taking a PPI, your doctor will ask you to stop taking the PPI medications for one or two weeks before the test. This test isn't always recommended solely to diagnose an H. pylori infection because it's more invasive than a breath or stool test.

How long after antibiotics can you test stool?

If you were previously diagnosed with and treated for H. pylori, your doctor will generally wait at least four weeks after you complete your antibiotic treatment to test your stool. If you are taking a PPI, your doctor will ask you to stop taking PPI medications for one or two weeks before the test.

How many antibiotics are given for H pylori?

H. pylori infections are usually treated with at least two different antibiotics at once, to help prevent the bacteria from developing a resistance to one particular antibiotic. Your doctor also will prescribe or recommend an acid-suppressing drug, to help your stomach lining heal.

Can you take bismuth before stool test?

If you are taking a PPI, your doctor will ask you to stop taking the PPI medications for one or two weeks before the test.

How long after H pylori treatment can you get stool antigen?

pylori treatment and you have not done an H. pylori stool antigen test or stomach tissue biopsy (most accurate), wait at least one month and get one of the two tests performed.

How reliable is blood testing for H pylori?

First, blood testing is not a reliable indicator for the verification of successful eradication of the H. pylori bacteria, post-treatment. Secondly, relief of symptoms such as abdominal pain is also an unreliable marker for verifying H. pylori eradication.Nearly all studies have found that successful treatment is associated with a 40 to 50% decrease in IgG levels by 6 months post-treatment. However, only about 25% of successfully treated patients show a complete disappearance of IgG antibodies, even when measured 3.5 years after treatment.

What causes inability to break down carbohydrates?

Inability to break down simple sugars, especially fructose. A deficiency of the enzyme alpha-galactosidase. This deficiency can cause an inability to break down certain complex carbohydrates found in many foods such as beans, vegetables, and whole grains.

Does SIBO have margin of error?

All testing has a margin of error. If your abdominal pain, gas, bloating, constipation, diarrhea.. still exist even after you have completed antibiotic treatment for SIBO or triple ( Prevpac ), quadruple therapy ( Pylera) for the H. pylori bacteria, continue reading below.

How to treat H pylori?

H. Pylori Treatment Failure 1 About 20% of H. pylori treatment fails after initial treatment. 2 Make sure that the patient is compliant with medications. 3 Since the patient has failed an initial course of treatment, we will use an alternate regimen (triple or quadruple therapy) using a different combination of antibiotics for 14 days. 4 We won’t use Clarithromycin unless we have cultures that show that this H. pylori strain is susceptible to Clarithromycin. 5 Will avoid antibiotics that have been used before. 6 Will consider culture with antibiotic sensitivity testing to guide subsequent treatments if the patient fails the second antibiotic combination. 7 Rx: omeprazole (20 mg BID), tetracycline (500 mg BID), metronidazole (500 mg BID), and bismuth subcitrate caplets (240 mg BID), each given twice daily with the midday and evening meals for 14 days 8 Rx: Florastor to prevent C-diff.

How long does a PPI last?

Levofloxacin (250 mg), amoxicillin (1 g), and a PPI each given twice daily for 14 days. Omeprazole (20 mg), tetracycline (500 mg), metronidazole (500 mg), and bismuth subcitrate caplets (240 mg), each given twice daily with the midday and evening meals for 14 days has been shown to result in a 95% eradication rate.

How often should I take PPI?

Standard dose PPI* twice daily (or esomeprazole 40 mg once daily) plus clarithromycin 500 mg twice daily, and amoxicillin 1000 mg twice daily for 10-14 days ¶.

How long does it take to take clarithromycin 500 mg twice daily?

Standard dose PPI twice daily, clarithromycin 500 mg twice daily, metronidazole 500 mg twice daily for 10-14 days ¶.

New worrying symptoms after H Pylori treatment

Hi guys It has been almost a week since I've stopped the one week triple therapy for H Pylori...

Treatment for H Pylori

twice a day. So 2000 mg per day. Clarithromycin 500mg 1 tablet twice a day. So 1000mg per day...

Diagnosed with H pylori

Hello, I'm new here. After two months of back and forth with the GP they finally found the cause of...

H Pylori

So, paid a visit to the doctor, had a load of blood tests including one for H Pylori. Turns out I...

H Pylori Triple Therapy

just wondering for those who tested positive for H pylori and finished the triple therapy if any...

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9