Treatment FAQ

what if treatment for h.pylori doesn't work

by Linnea Casper Published 2 years ago Updated 2 years ago
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When multiple treatment regimens fail, salvage therapy regimens such as bismuth or furazolidone quadruple therapy (a bismuth and tetracycline HCl 4 times a day along with a proton pump inhibitor twice a day, and either metronidazole 400 or 500 mg three times daily or furazolidone 100 mg three times daily for 14 days) can be used.

Treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple therapy with either levofloxacin-based triple therapy (with amoxicillin and a proton pump inhibitor [PPI]) or a bismuth-based quadruple therapy produces cure rates of 75% to 81%.

Full Answer

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. ...

How long does H pylori take to heal?

With appropriate : treatment and avoidance of risk factors and negative H.pylori testing figure 3-6 weeks. Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free! Doctors typically provide answers within 24 hours.

How to get rid of H. pylori naturally?

  • Add one to two teaspoons of licorice root to a cup of water.
  • Bring it to a boil in a saucepan.
  • Simmer and strain. Allow it to cool.
  • Drink it up.

What is the best antibiotic treatment for Helicobacter pylori?

pylori) infection

  • Diagnosis. Several tests and procedures are used to determine whether you have an H. pylori infection. ...
  • Treatment. H. ...
  • Preparing for your appointment. See your primary care doctor if you have signs or symptoms that indicate a complication of H. ...

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What happens if antibiotics don't clear up H. pylori?

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.

Why can't I get rid of my H. pylori?

Unfortunately, H. pylori is extremely difficult to remove. Due to the unique characteristics of the bacteria, it is able to create reservoirs that are protected by the biology of the stomach itself. Even if the reservoirs are eliminated, it may allow new mutant strains of H.

How do you treat resistant H. pylori?

Areas with high levels of resistance are defined as those with a prevalence of >15% of H. pylori strains carrying antibiotic resistance. Treatment regimens must always include a proton pump inhibitor (PPI) and a combination of 2 or 3 antibiotics for 10 to 14 days.

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 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.

What happens if antibiotics don't work?

When bacteria become resistant, the original antibiotic can no longer kill them. These germs can grow and spread. They can cause infections that are hard to treat. Sometimes they can even spread the resistance to other bacteria that they meet.

What is the third treatment for H. pylori?

In conclusion, in developing countries where resistance to metronidazole is usually very high [12], furazolidone in combination with tetracycline, bismuth and PPI for one week is very effective, safe and cost effective against H pylori as the third-line therapy.

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.

What is quadruple therapy for H. pylori?

Quadruple therapy (proton pump inhibitor, tetracycline, metronidazole and a bismuth salt) is a very effective regimen even in areas of high prevalence of antibiotic resistance, and may be an alternative first-line treatment. Aim: To compare triple vs. quadruple therapy for the first-line treatment of H.

How long does it take for stomach to heal after H. pylori?

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.

Can H. pylori come back after antibiotics?

However, H pylori can be recrudesced within a few months after therapy. Ishizuka et al25 found that H pylori could reappear within 3 months after eradication therapy.

Is H. pylori a serious condition?

H. pylori infection is a strong risk factor for certain types of stomach cancer.

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 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.

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.

What happens when you take a breath test?

During a breath test, you swallow a pill, liquid or pudding that contains tagged carbon molecules. If you have an H. pylori infection, carbon is released when the solution is broken down in your stomach. Your body absorbs the carbon and expels it when you exhale. You exhale into a bag, and your doctor uses a special device to detect ...

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