Сauses of gastritis

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lukava
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Сauses of gastritis

Post by lukava » Fri Oct 13, 2017 5:26 pm

Hi to all

by results of a gastroscopy I have the following indications:
- erosive gastritis
- gastroduodenitis
but my breathe test and stool test is negative. During the last 8 months I do not take any medication.
Its been more than 12 months since my last eradication. In what there can be a reason of a gastritis?


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Helico_expert
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Re: Сauses of gastritis

Post by Helico_expert » Sat Oct 14, 2017 5:53 am

is there any more detail like chronic gastritis or active gastritis? those are keyword to suggest if there may be sign of infection.

lukava
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Re: Сauses of gastritis

Post by lukava » Sun Oct 15, 2017 4:48 pm

First time I was diagnosed with surface gastritis two years ago. A year after that I was diagnosed with erosive gastritis. After two stages of treatment I still have erosive gastritis.

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Helico_expert
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Re: Сauses of gastritis

Post by Helico_expert » Mon Oct 16, 2017 4:30 am

It's a bit weird to have the erosion if HP is absent. you'll need to continue PPI until the wound is recovered. However, the wound will not heal with HP around. So it is important to make sure that HP is completely eradicated.

lukava
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Re: Сauses of gastritis

Post by lukava » Sun Oct 22, 2017 8:14 pm

Thank you for reply

Also my doctor directed me to fluoroscopy of the stomach and esophagus. This research showed the sings of gastritis, gastroduodenitis, reflux and cholecystitis. Also doctor said that I have a cascade stomach.
So now I don't have a clue what to do, because all tests I passed are negative to HP.

Could you recommend something?

Thanks

Helico_expert
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Re: Сauses of gastritis

Post by Helico_expert » Mon Oct 23, 2017 3:10 am

Unfortunately your case has stepped into the unknown zone. Not much info is known other than HP. When you are negative of HP, then what's left is trial and error. i think diet is probably the key to the problem. You have have to try changing diet and see what works. Please update us what you have tried and how do you feel.

lukava
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Re: Сauses of gastritis

Post by lukava » Tue Dec 05, 2017 7:38 pm

Thank you for replying

I have a question about IgA(Western blot) analysis : would it be informative after few eradications?

Thank you

Helico_expert
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Re: Сauses of gastritis

Post by Helico_expert » Wed Dec 06, 2017 1:15 am

IgA is part of your immune system. Your immune system is smart and will always remember what you had been infected before. Therefore, even after eradication, your immune system will still produce IgA or IgG for a while as a "protection". As a result, I am afraid IgA will still appear after HP eradication. The real question is which antigen and for how long? now that would be a tough question as every antigen will stimulate the immune response differently. Some antigen, such as CagA, will give strong immune response and longer immune response. The level of immune response and time is really subjective. There are reports that show antibody in the blood remain detectable after 3 years.

lukava
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Re: Сauses of gastritis

Post by lukava » Wed Dec 06, 2017 4:53 pm

Thank you for reply!

In that case i have to wait for positive results of analysis only. Because all the symptoms i had are still the same.
And i cant eat some products like vegetables, some sour-milk products, fruits, meat (needless to say about eating spicy and greasy food).
I've read about people who couldnt find any signs of helicobacter in their organisms, but in the end they did.

Should i make test for helicobacter typing?
What would you recommend in that case?
Thank you!

Helico_expert
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Re: Сauses of gastritis

Post by Helico_expert » Thu Dec 07, 2017 12:04 am

you should wait for at least 3 weeks without any antibiotics and PPI. Then repeat the Urea Breath Test.

if you have relux symtomp, replace PPI with H2 blocker (eg. ranitidine). you can continue ranitidine until the night before breath test.

if Urea breath test is not available, stool antigen test is as accurate.

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