am i get infected by H.Pylori again?? need help!!!

New things in the forums might be highlighted here. Take a look at the avatars! Get yourself one, there are hundreds to choose from.

Moderators: Toni, barjammar

lxy172733823
Genuine user
Posts: 47
Joined: Mon Dec 07, 2015 10:32 pm

am i get infected by H.Pylori again?? need help!!!

Post by lxy172733823 » Sun Mar 05, 2017 5:18 am

Hello everyone,
I suffered from H.Pylori infection in October 2015, the symptoms were acid reflux, abdominal pain,bloating,belching. Doctor in Eugene, Oregon gave me quadruple therapy for two weeks. I felt better after i finished that course of treatment. Then in last year, i started feeling some symptoms in April, and i had upper endoscopy in May last year. The result was chronic gastritis.I didn't take any medications because i didn't feel any symptoms after upper endoscopy until last week. I started feeling constant bloating, belching since last Tuesday. I feel a lot air in my stomach after meal and hard for me to burp them up. I went to clinic this Wednesday, Doctor ordered blood test and C 14 urea breath test and prescribed omeprazol for me and i had all tests done on Wednesday.I started to take omeprazole on Thursday till now and i don't feel better.By the way I took omeprazole two days before i did breath test, and i have get any results so far, i went to clinic this morning, they told me that i won't get result until next Tuesday.
My questions are :Could this affect result to false-negative, I'm very worried about that. Could my symptoms caused by H.Pylori again?

Thank you

Helico_expert
Genuine user
Posts: 2364
Joined: Tue Mar 01, 2011 11:20 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by Helico_expert » Mon Mar 06, 2017 12:57 am

yup. omeprazole will give you false negative. breath test is relying on your acidic stomach. If it doesnt have enough acid, breath test will fail.

Your doctor should be more careful on that before giving you breath test.

Also, blood test is not informative in this situation. Most likely you'll be positive knowing that you had been infected before. However, a positive blood test only means that you had been infected before. Blood test cannot tell if you are still infected.

So, what antibiotics have you taken in your quadruple therapy 2 years ago? it will be helpful to your doctor if you can find out from your previous doctor.

lxy172733823
Genuine user
Posts: 47
Joined: Mon Dec 07, 2015 10:32 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by lxy172733823 » Mon Mar 06, 2017 3:03 am

Thank you expert.
So you mean that my breath test will be definitely negative or it will have chance being negative?
Doctor prescribed me doxycycline, metronidazole,omeprazole, pepto bismol in 2015.

I also did breath test last May, the result came back to negative.

also,i have had mild abdominal pain, and too much gas in the stomach especially after mean. it feels like i cannot burp gas from stomach,i have to use pressure around stomach are to force stomach to expel gas from stomach. This feeling is making me extremely uncomfortable . Do you think that can all the symptoms i have relate to chronic gastritis or from stomach cancer? I'm very worried about that.
Also, do i need to take upper endoscopy again? i did it last May.

thank you expert
Last edited by lxy172733823 on Mon Mar 06, 2017 3:35 am, edited 1 time in total.

Helico_expert
Genuine user
Posts: 2364
Joined: Tue Mar 01, 2011 11:20 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by Helico_expert » Mon Mar 06, 2017 3:34 am

we dont know if your first treatment work. it is a strong one and should work.

so you may get a negative breath test result this time because of that.

if the treatment doesnt work, then because of omeprazole, you may still get a negative result.

I think it is better you get proper diagnosis before trying anything else.

lxy172733823
Genuine user
Posts: 47
Joined: Mon Dec 07, 2015 10:32 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by lxy172733823 » Mon Mar 06, 2017 3:36 am

Helico_expert wrote:
Mon Mar 06, 2017 3:34 am
we dont know if your first treatment work. it is a strong one and should work.

so you may get a negative breath test result this time because of that.

if the treatment doesnt work, then because of omeprazole, you may still get a negative result.

I think it is better you get proper diagnosis before trying anything else.
i forgot to give you important information,
I did breath test last Mat, the result came back to negative

lxy172733823
Genuine user
Posts: 47
Joined: Mon Dec 07, 2015 10:32 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by lxy172733823 » Mon Mar 06, 2017 3:40 am

Helico_expert wrote:
Mon Mar 06, 2017 3:34 am
we dont know if your first treatment work. it is a strong one and should work.

so you may get a negative breath test result this time because of that.

if the treatment doesnt work, then because of omeprazole, you may still get a negative result.

I think it is better you get proper diagnosis before trying anything else.
Thank you,
should i stop taking omeprazole to wait 2 week and take breath test again?

lxy172733823
Genuine user
Posts: 47
Joined: Mon Dec 07, 2015 10:32 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by lxy172733823 » Mon Mar 06, 2017 3:43 am

Helico_expert wrote:
Mon Mar 06, 2017 3:34 am
we dont know if your first treatment work. it is a strong one and should work.

so you may get a negative breath test result this time because of that.

if the treatment doesnt work, then because of omeprazole, you may still get a negative result.

I think it is better you get proper diagnosis before trying anything else.
based your experience do you think that could these symptoms result from stomach cancer?

Helico_expert
Genuine user
Posts: 2364
Joined: Tue Mar 01, 2011 11:20 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by Helico_expert » Mon Mar 06, 2017 3:31 pm

it's actually very hard to get stomach cancer. perhaps i can explain this using a scoring system.

if you inherit cancer gene from your family, score 4
if you carry HP, score 1
if you eat a lot of salt, score 1
if you are above 50 yrs old, score 2
if you dont eat healthily (eg. no fruits and vege), score 1
if you are smoker and drink alcohol, score 1

So what's your score out of 20?

meaning even if you all of the above, your score is still 10 out of 20.

nevertheless, if you have done endoscopy and it showed nothing serious, you are most likely to be ok for the next 5 years.

lxy172733823
Genuine user
Posts: 47
Joined: Mon Dec 07, 2015 10:32 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by lxy172733823 » Mon Mar 06, 2017 3:46 pm

Helico_expert wrote:
Mon Mar 06, 2017 3:31 pm
it's actually very hard to get stomach cancer. perhaps i can explain this using a scoring system.

if you inherit cancer gene from your family, score 4
if you carry HP, score 1
if you eat a lot of salt, score 1
if you are above 50 yrs old, score 2
if you dont eat healthily (eg. no fruits and vege), score 1
if you are smoker and drink alcohol, score 1

So what's your score out of 20?

meaning even if you all of the above, your score is still 10 out of 20.

nevertheless, if you have done endoscopy and it showed nothing serious, you are most likely to be ok for the next 5 years.
Thank you for taking your precious time to answer my questions

first:My grandpa got stomach cancer at age of 77, she used to have chronic gastritis for long time.
second: I don't know if i carry HP now, but i'm sure that i used to be a HP carrier. I did breath test last May, It was negative.
Third: instead of eating a lot of salty food, i eat a lot of grain, cereal,vegetables and lots of fruit.
Fourth: I'm 31
Fifth:I eat very healthy
Sixth: I don't drink, smoke.

based on your score system, i only get 1 out of 20.
I have upper endoscopy done last May, 2016. result was chronic (superficial) gastritis. So you mean that stomach cancer won't develop from chronic gastritis in less than 10 months without any treatment.

thank you

Helico_expert
Genuine user
Posts: 2364
Joined: Tue Mar 01, 2011 11:20 pm

Re: am i get infected by H.Pylori again?? need help!!!

Post by Helico_expert » Mon Mar 06, 2017 11:31 pm

you'll be fine.. if you are worried, just book yourself an endoscopy every few years.

Post Reply

Return to “Hot Topics and Common forum Issues”