Only registered users are allowed to post. To register, please click here

Should you have any problem in posting, registering, or login, please do not hesitate to contact the admin at Marshall.centre(at)gmail(dot)com. In the subject, please use "Help needed for www.helico.com"

Advertisement is not allowed. While we encourage discussion, please try not to promote your website, goods, or unproven treatment here.

This is a non-profit website. We will try our best to help anyone that has question about H. pylori and their treatment. We shall provide the most accurate answer about H. pylori. You can help us by clicking here to keep this forum alive.

Some useful guides
How to post in the forum?
Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
How long should I wait before doing follow up breath/stool test?

If you are confirmed with H. pylori, in your convenient time, please help us with the symptoms survey that you are experiencing.
Symptoms survey
(contributed by frostyfeet)


此网站免费然您阅读。若想分享心得或提问,请先注册
若有困难注册,请联络站长 Marshall.centre(at)gmail(dot)com。标题请用 "Help needed for www.helico.com"
此网站不允许打广告。我们欢迎任何的讨论。但尽量不要推销没医学根据的网站,商品或治疗方案。
此网站是非盈利网站。我们会尽最大能力提供任何有关幽门螺杆菌的讯息。您的捐款可以让我们继续帮助更多的病人。

指南
如何贴文?
欧洲幽门螺杆菌治疗共识 5
第五次全国幽门螺杆菌感染处理共识报告
用药后,多久以后可以再做吹气测试?

Very high UBT result and am on 2nd attempt without success

The cure of Hp usually requires antibiotics. Other things have been tried and have a weaker effect.

Moderators: barjammar, Toni, luci2010, Ondek-Expert, kkimura

Post Reply
christianqwert123
Posts: 2
Joined: Sat Aug 06, 2016 8:38 am

Very high UBT result and am on 2nd attempt without success

Post by christianqwert123 »

Hi Everyone. I did a urea breath test (C14) for H. Pylori early last month and the result is very high. The result of <50 DPM is negative but I have a result of 2947 DPM which is 59 times the allowable limit. I'm on my 2nd eradication attempt at the moment. I was taking Nexium, Amoxil and Klacid in my first attempt and after more than two weeks, my GP told me to take the same medications. I did a bit of research and I found that I should't take the same medications in my second eradication attempt. My second eradication attempt will end tomorrow but I am still having pain in both left and right upper abdomen.

Could someone please let me know if my urea breath test result is very high or advise on the next steps. I'm planning to find a new GP/specialist could someone please recommend a GP/specialist here in Perth that has a good knowledge of H. Pylori Eradication. I think it would be great to see Dr. Marshall but I don't think he's running a clinic.

Also, I am taking Swisse probiotics with the following ingredients:

Bifidobacterium lactis (HOWARU(r) bifido HN019) 5 billion CFU
Bifidobacterium lactis (Bl-04) 10.5 billion CFU
Lactobacillus acidophilus (La-14) 10.5 billion CFU

Did someone tried these probiotics before in conjunction with Nexium, Amoxil and Klacid. I am taking Nexium, Amoxil and Klacid in the morning and evening while I'm taking the probiotic during lunchtime.

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Very high UBT result and am on 2nd attempt without succe

Post by Helico_expert »

Hi,

High UBT means you have high load of H. pylori. Fortunately, there is no correlation between UBT and disease severity. We have patients that have UBT of 7000 and they are asymptomatic. We also have patients with borderline UBT with lots of symptoms. Therefore, all you need to know from UBT is if you are positive or negative.

In terms of treatment, you are right. Your first treatment failed because of antibiotic resistance. So there is no point of trying the same antibiotics again. Nevertheless, H. pylori cannot become resistant to Amoxicillin. So you can always use Amoxicillin + one other antibiotic (normally Metronidazole, if you have not try that).

in addition, you can add to bismuth to the above triple therapy to boost the cure rate higher. Bismuth is not readily available in pharmacy. If the specialist is good, he'll know where to get them. (eg. Trimed http://trimed.com.au/ )

Lastly, there is also report that showed that double dose PPI can also boost cure rate. So if you combine all of above, your chance of getting a successful treatment is very high.


PS: probiotics is more for side effect management. We dont have much evidence on which brand or which strains that work on certain ethnic population or certain symptoms. But since it is harmless, we dont mind you trying out. If you feel good, great. If you dont feel improvement, try other brands.

christianqwert123
Posts: 2
Joined: Sat Aug 06, 2016 8:38 am

Re: Very high UBT result and am on 2nd attempt without succe

Post by christianqwert123 »

Thanks Helico_expert for your response.

Could you please recommend a specialist?

Do you think its better to wait for my next UBT result (4 weeks from yesterday) to see a specialist even if it is highly likely that my second eradication attempt was unsuccessful? I think my GP is not very knowledgeable about my sickness. He gave me the same medications two weeks after I finished my first attempt. Not even testing if I still have HP or not.

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Very high UBT result and am on 2nd attempt without succe

Post by Helico_expert »

It depends what your GP gave you. It's not right to give antibiotics straight away without a proper diagnosis. Especially the same antibiotics that you failed. But it is ok to give PPI for additional 2 weeks to ease the symptoms.

Yes, you should wait 4 weeks, repeat your UBT, and then find a specialist. Who knows you may be lucky and your second treatment actually works.

shid0x
Posts: 43
Joined: Thu Sep 03, 2015 5:38 am

Re: Very high UBT result and am on 2nd attempt without succe

Post by shid0x »

In case your test in 4 weeks comes back positive you may discuss the possibility of using Pylera to your GP or GI.
I was in a similar case, triple therapy failed, sequential therapy failed...I didn't want to go for more rounds and i asked my doctor what was the strongest stuff to end it now.

He put me on pylera for 10 days.
Man i won't lie to you i got my ass handed to me by the medicine, last two days couldn't even walk straight due to headaches.
But it worked, my UTB test was negative for the first time in a year, then about 3 months later stomach was back to a normal state.
Do you think its better to wait for my next UBT result (4 weeks from yesterday) to see a specialist even if it is highly likely that my second eradication attempt was unsuccessful?
This you can't know for sure, i felt like shit for a month even after helicobacter was removed from my system.

Post Reply

Return to “Treatment for Helicobacter 幽门螺杆菌治疗”