Confused about what doctor is saying about H.Pylori..Please help
Posted: Thu Nov 29, 2018 1:52 am
Hello everyone,
I am Uday 48 years old male; lives in Bangalore, India.
8 months back it all started.
All of a sudden one day in April 2018, I started having body pain. Random pains. Bone, muscles everywhere all over the body; pins, needles, side heaviness, random pains near the rib cage near the chest area etc. I WAS FEELING VERY WEIRD. I did not know what had happened to me. After few weeks as the symptoms remained the same - I visited an Ortho doctor. He diagnosed me with Vitamin D deficiency and provided supplements. But at the same when I had body pain symptoms - I also had some kind of gas wandering around my stomach area. But that was some minor issue when compared to body aches that I was experiencing. After some months -after I started having vitamin D3 supplements - body pain started reducing but I noticed my stomach started bloating 24 x 7. This I noticed around June 2018. Strange enough I could not pass gas from anal route. I was experiencing constipation issues. Stool was not passing "full". Then came September 2018 - I started to have stomach distension. As soon as I eat or drink something - my stomach started swelling. It started becoming harder. So I was not able to eat drink anything properly.
Now I ran to a gastroenterologist doctor. He suggested Pantodac (pantoprazole) 40mg ( 1 - 0 - 1 ) (2 tablets daily) for 2 weeks. But sadly it did not help. Symptoms remained the same. Bloated stomach, not able to pass gas, stomach distension, abdominal pain etc. I was not able to sleep in the night. I started having acid reflux (GERD). Now, my gastroenterologist doctor - suggested an Upper GI ENDOSCOPY.
I am writing down my Upper GI ENDOSCOPY lab report picking some important points: (done in october month)
-----------------------------------------------------------------------------------------------------------------------------------------
Oesophagus: Normal Mucosa
OG Junction: LAX LES
Stomach:
Fundus: Normal Mucosa
Body: Normal Mucosa
Antrum: Hyperaemia / Erosions / No Ulcer
Pylorus: Normal
Duodenum:
D1: Hyperaemia / Erosions / No Ulcer
D2: Hyperaemia / Erosions
BIOPSY : Antral Biopsy for H.Pylori by RUT +ve (positive)
Impressions: LAX LES
EROSIVE ANTRAL GASTRITIS
EROSIVE DUODENTIS
==============================================================
When I discussed my lab report with my gastroenterologist doctor - a few days back - he said - instead of starting the H.Pylori Eradication antibiotic treatment immediately - he would put me in the following medication for 2 weeks to see if it helps with my symptoms. The medication he suggested was the following for 2 weeks of time.
i) tab pantodac (pantoprazole) 40 mg ( 1 - 0 - 1)
ii) tab Actapro 100mg (Acotiamide) (for stomach distension)
iii) tab I VORAL FORTE ( 0 - 0 - 1) Just only 1 tablet to kill germs in my intestines if any.
At this time I asked the Doctor that - since I am infected with H.Pylori bacteria- why don't he start with H.Pylori antibiotic treatment straight away?
For this doctor said - as the biopsy is NOT "deep biopsy" - it do not capture the number of H.Pylori bacteria present in my stomach. His theory is that I might have been softly mildly infected with H.Pylori. He told me that only "Deep Biopsy" would tell properly how severely I am affected with H.Pylori. He also said if the above medication do not help me to reduce my symptoms then he will prescribe me H.Pylori Eradication antibiotic treatment after 2 weeks.
I really do not understand the medical term that he was using such as "deep biopsy" and all.
I am in now bigger dilemma than earlier. Please help me with the following doubts that are in my mind.
1) The symptoms that I wrote above could have been caused by H.Pylori bacteria?
2) Whether biopsy R.U.T test do not give a clear picture of H.Pylori infection? I mean is this test is NOT ENOUGH to tell whether i am H.Pylori infected?
3) Should I start with the above medication for 2 weeks ( just as the Doctor suggested) ? Or should I ask him to give me H.Pylori Eradication antibiotic treatment straightaway without wasting any time?
I do not want to waste any further time as this stomach sickness these months long nearly killed me- at least my mind think so...
Please give me a clear picture on the above lab report and next course of steps. That will help me a lot to deal with the stomach sickness I am experiencing since 8 months. Thanks a lot...God Bless All...
I am Uday 48 years old male; lives in Bangalore, India.
8 months back it all started.
All of a sudden one day in April 2018, I started having body pain. Random pains. Bone, muscles everywhere all over the body; pins, needles, side heaviness, random pains near the rib cage near the chest area etc. I WAS FEELING VERY WEIRD. I did not know what had happened to me. After few weeks as the symptoms remained the same - I visited an Ortho doctor. He diagnosed me with Vitamin D deficiency and provided supplements. But at the same when I had body pain symptoms - I also had some kind of gas wandering around my stomach area. But that was some minor issue when compared to body aches that I was experiencing. After some months -after I started having vitamin D3 supplements - body pain started reducing but I noticed my stomach started bloating 24 x 7. This I noticed around June 2018. Strange enough I could not pass gas from anal route. I was experiencing constipation issues. Stool was not passing "full". Then came September 2018 - I started to have stomach distension. As soon as I eat or drink something - my stomach started swelling. It started becoming harder. So I was not able to eat drink anything properly.
Now I ran to a gastroenterologist doctor. He suggested Pantodac (pantoprazole) 40mg ( 1 - 0 - 1 ) (2 tablets daily) for 2 weeks. But sadly it did not help. Symptoms remained the same. Bloated stomach, not able to pass gas, stomach distension, abdominal pain etc. I was not able to sleep in the night. I started having acid reflux (GERD). Now, my gastroenterologist doctor - suggested an Upper GI ENDOSCOPY.
I am writing down my Upper GI ENDOSCOPY lab report picking some important points: (done in october month)
-----------------------------------------------------------------------------------------------------------------------------------------
Oesophagus: Normal Mucosa
OG Junction: LAX LES
Stomach:
Fundus: Normal Mucosa
Body: Normal Mucosa
Antrum: Hyperaemia / Erosions / No Ulcer
Pylorus: Normal
Duodenum:
D1: Hyperaemia / Erosions / No Ulcer
D2: Hyperaemia / Erosions
BIOPSY : Antral Biopsy for H.Pylori by RUT +ve (positive)
Impressions: LAX LES
EROSIVE ANTRAL GASTRITIS
EROSIVE DUODENTIS
==============================================================
When I discussed my lab report with my gastroenterologist doctor - a few days back - he said - instead of starting the H.Pylori Eradication antibiotic treatment immediately - he would put me in the following medication for 2 weeks to see if it helps with my symptoms. The medication he suggested was the following for 2 weeks of time.
i) tab pantodac (pantoprazole) 40 mg ( 1 - 0 - 1)
ii) tab Actapro 100mg (Acotiamide) (for stomach distension)
iii) tab I VORAL FORTE ( 0 - 0 - 1) Just only 1 tablet to kill germs in my intestines if any.
At this time I asked the Doctor that - since I am infected with H.Pylori bacteria- why don't he start with H.Pylori antibiotic treatment straight away?
For this doctor said - as the biopsy is NOT "deep biopsy" - it do not capture the number of H.Pylori bacteria present in my stomach. His theory is that I might have been softly mildly infected with H.Pylori. He told me that only "Deep Biopsy" would tell properly how severely I am affected with H.Pylori. He also said if the above medication do not help me to reduce my symptoms then he will prescribe me H.Pylori Eradication antibiotic treatment after 2 weeks.
I really do not understand the medical term that he was using such as "deep biopsy" and all.
I am in now bigger dilemma than earlier. Please help me with the following doubts that are in my mind.
1) The symptoms that I wrote above could have been caused by H.Pylori bacteria?
2) Whether biopsy R.U.T test do not give a clear picture of H.Pylori infection? I mean is this test is NOT ENOUGH to tell whether i am H.Pylori infected?
3) Should I start with the above medication for 2 weeks ( just as the Doctor suggested) ? Or should I ask him to give me H.Pylori Eradication antibiotic treatment straightaway without wasting any time?
I do not want to waste any further time as this stomach sickness these months long nearly killed me- at least my mind think so...
Please give me a clear picture on the above lab report and next course of steps. That will help me a lot to deal with the stomach sickness I am experiencing since 8 months. Thanks a lot...God Bless All...