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I am going to 2nd treatment next week.

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hdg0239
Posts: 7
Joined: Wed May 16, 2018 6:34 am

I am going to 2nd treatment next week.

Post by hdg0239 » Wed May 16, 2018 2:58 pm

Hi,

I am going to 2nd treatment next week.

My symptoms is weird, when I get reflux, i get pain in the left side of the neck. it is like sharp pain. neurological pain.
While i was taking PPI, the pain had gone. when I stopped PPI, The pain occur again

I had breath test and result was positive.
In 1st treatment, I had Nexium PH7 for 7 days, after a month, when I had breath test for the confirmation , The GP said the disintegration rate is increased than before. How come? is it resistance? but my symptom get much better than before though.

My GP give me two options. one is another 2 weeks with nexium PH7, the other is to meet specialist to get more strong antibiotics.
With nexium pH7, my symptom get quite better now, but still the bacteria remain.
I dont want to get strong antibiotics which might cause more serious side effect such as Ulcerative Colitis, irritable bowel disease.

What should do i do?

Could the expert be able to give the advice?

Thanks.

Helico_expert
Site Admin
Posts: 2783
Joined: Wed Mar 02, 2011 7:20 am

Re: I am going to 2nd treatment next week.

Post by Helico_expert » Wed May 16, 2018 8:24 pm

You can try PPI + AMOX + Metronidazole + bismuth

This is a modified triple therapy.

You cannot take clarithromycin any more.

hdg0239
Posts: 7
Joined: Wed May 16, 2018 6:34 am

Re: I am going to 2nd treatment next week.

Post by hdg0239 » Thu May 17, 2018 10:59 am

Thank you, Helico_expert,

Has the drug you let me know no serious side effect? like Ulcerative colitis?
and when I had nexium PH7, I had itch and red spot on the foot and disappeared quickly within few hours.
Can i still get the drug you recommended?

I know handling antibiotic is quite hard. that is why I trust advice from here rather than specialist.
Thank you and appreciate your advice.

Helico_expert
Site Admin
Posts: 2783
Joined: Wed Mar 02, 2011 7:20 am

Re: I am going to 2nd treatment next week.

Post by Helico_expert » Thu May 17, 2018 11:31 pm

hahaha... i think you better trust the specialist than people in forum.

The antibiotics cannot stop Ulcerative colitis if you are already having one. However, bismuth can prevent C. diff complication.

hdg0239
Posts: 7
Joined: Wed May 16, 2018 6:34 am

Re: I am going to 2nd treatment next week.

Post by hdg0239 » Fri May 18, 2018 3:23 pm

I dont have the ulcerative colitis but I heard having antibiotics can occur ulcerative colitis.
Thank you anyway. next week. I will ask the specialist to prescribe the drug you recommended.

hdg0239
Posts: 7
Joined: Wed May 16, 2018 6:34 am

Re: I am going to 2nd treatment next week.

Post by hdg0239 » Tue Jun 05, 2018 10:25 am

Hi, experts.

I have got a medicine for 2nd treatment.
Nexium + Amoxcilin + rifabutin.
Can you please explain this rifabutin?
I expected bismuth.
and which probiotic is good for the suppression of helicobacter.
I am not able to start on this medi now because I have exams.
Until the exam will have finished, I need some probiotic.
Can you please recommend that? and Can I keep taking while I am on the treatment of Nexium + Amoxcilin + rifabutin.

Thanks.

Helico_expert
Site Admin
Posts: 2783
Joined: Wed Mar 02, 2011 7:20 am

Re: I am going to 2nd treatment next week.

Post by Helico_expert » Tue Jun 05, 2018 2:37 pm

rifabutin is commonly used for tuberculosis. It's actually a reserve antibiotic to prevent resistance in the community.

you can mix bismuth to the treatment to boost the success rate. We have use this combination before and it's good.

i cannot recommend any probiotics. I think they are all similar. try a few and pick the one you feel most effective.

hdg0239
Posts: 7
Joined: Wed May 16, 2018 6:34 am

Re: I am going to 2nd treatment next week.

Post by hdg0239 » Tue Jun 05, 2018 3:35 pm

Thank you.

I cant add bismuth because I dont have the right.

Without bismuth, Is the combination of Nexium + Amoxcilin + rifabutin still good? any serious side effect?
And when can I take this drug to get more effect after meal or before meal?

Thank you.

power1
Posts: 52
Joined: Mon Jun 10, 2013 4:10 pm

Re: I am going to 2nd treatment next week.

Post by power1 » Tue Jun 26, 2018 9:32 am

I would take the levofloxacin instead of rifabutin as my 2nd treatment, if I have not taken this antibioitics before...

I am not sure if that regime could be combined with Bismuth...to increase the chances for eradicating H.pylori.
Perhaps Helico_expert could let us know.

Helico_expert
Site Admin
Posts: 2783
Joined: Wed Mar 02, 2011 7:20 am

Re: I am going to 2nd treatment next week.

Post by Helico_expert » Tue Jun 26, 2018 10:19 am

PPI + Amox + Rifabutin has good eradication rate too.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4284035/

it will work with or without bismuth.

Levoflox is a good choice too. You can replace Levoflox with a cheaper version, ciproflox.

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