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Search found 138 matches

by barjammar
Mon Nov 10, 2014 11:57 am
Forum: Everything Else
Topic: Lyme like illness
Replies: 2
Views: 3120

Re: Lyme like illness

Regards Lyme: The ability to pull out PCR DNA fragments from a biological sample is not necessarily proof that the germ exists. Bacteria swap bits of DNA around so a piece could resemble a Lyme DNA yet Lyme might not be present. Similarly, antibodies which show up against Lyme could actually be just...
by barjammar
Thu Aug 28, 2014 10:08 pm
Forum: Treament for Helicobacter
Topic: Just started H. Pylori Treatment...
Replies: 108
Views: 30277

Re: Just started H. Pylori Treatment... and POLYPS

Gastric polyps of about 5 mm size are actually quite common (5-10% of people having endoscopy) and are almost always benign. So my strategy is to biopsy one or two so that I can tell the patient that the polyp IS benign. Some say that's a waste of money because it is so rare for a benign appearing "...
by barjammar
Sun Feb 10, 2013 8:02 pm
Forum: Epidemiology and Transmission ( How do you catch it?)
Topic: How should I do to avoid transmission?
Replies: 25
Views: 30672

Re: How should I do to avoid transmission?

These days, in a modern country with clean chlorinated water supply, Hp can only be acquired from a close family member. That means a spouse or sometimes mother to child.
So I recommend have your partner tested and then both take the treatment at the same time. Follow up with breath tests. 8-)
by barjammar
Sun Feb 10, 2013 7:47 pm
Forum: Treament for Helicobacter
Topic: PBRC treatment Dosage Intervals
Replies: 2
Views: 2553

Re: PBRC treatment Dosage Intervals

Spreading out the doses does make sense. However, it is not proven to make any difference. In fact, in one study, two doses per day given at mealtimes was just as effective. Also, separating one type of tablet from the other, is unnecessary. If anyone knows of true evidence on these points let me kn...
by barjammar
Sun Feb 10, 2013 10:29 am
Forum: Treament for Helicobacter
Topic: 2nd line of treatment?
Replies: 4
Views: 2482

Re: 2nd line of treatment? Diagnosis in people needing PPI

An area of management worthy of discussion. Firstly, every (DIRECT) test becomes less accurate as we interfere with the stomach environment. In order these effects are: antibiotics > bismuth > PPI > H2-Blockers > antacid. So tests which measure actual bacteria in the stomach (biopsy, culture, breath...
by barjammar
Sun Jan 20, 2013 7:18 am
Forum: Treament for Helicobacter
Topic: 4th Line Treatment to Eradicate H. Pylori
Replies: 15
Views: 10039

Re: 4th Line Treatment - Rifabutin and Neutropenia

Final Reply Neutropenia is somewhat idiosyncratic which means people who have a reaction to the rifabutin would likely develop it. As I review your past treatments my comments are: 1. Repeated treatments with clarithromycin or metronidazole are not very useful. 2. Since the acid blocker is inexpensi...
by barjammar
Wed Sep 26, 2012 11:19 am
Forum: Treament for Helicobacter
Topic: h pylori in well water???
Replies: 1
Views: 1854

Re: h pylori in well water???

The techniques for proving H.pylori in an environmental sample are not accurate enough to make it a useful test. I suggest that you should just focus on the cancer issue and then, in 12 months when everything is settled one way or another, have the family members undergo breath test and serology for...
by barjammar
Sun Aug 12, 2012 10:35 pm
Forum: Everything Else
Topic: After HPAC H-Pylori Antibiotics Symptoms
Replies: 19
Views: 30537

Re: After HPAC H-Pylori Antibiotics Symptoms

I second that! The acid blockers help the antibiotics work. Otherwise, acid interferes with the antibiotic activity in some way. As an example, look at clarithromycin. Why don't we use erythromycin which is far cheaper? Answer; because clarithromycin is stable in acid and active in the stomach. Also...
by barjammar
Sun Aug 12, 2012 10:26 pm
Forum: Diseases and Symptoms
Topic: Just diagnosed on 08/08/12
Replies: 6
Views: 5355

Re: Just diagnosed on 08/08/12 STOMACH PAIN

If you have a lot of pain, discuss it with your doctor in case it is serious. However, ulcers can cause severe pain and might take a couple of weeks to heal (up to 8 weeks sometimes). The Prevpac will heal the ulcer as it kills the Hp so you don't need to be tested for the ulcer in the first instanc...
by barjammar
Sun Aug 12, 2012 10:09 pm
Forum: Treament for Helicobacter
Topic: empiric salvage therapy
Replies: 9
Views: 3845

Re: empiric (personalized) salvage therapy

The treatment you mention (Om-Met-Tet-Bism) is not bad, and even met-resistant Hp can be killed by it (we don't understand why) so that the cure rate is probably more than 70%. To boost it, I would push the doses of antibiotics and have multiple frequent doses - 3 hourly for example. Bismuth dose ca...

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