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Some useful guides
How to post in the forum?
Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
How long should I wait before doing follow up breath/stool test?
If you are confirmed with H. pylori, in your convenient time, please help us with the symptoms survey that you are experiencing.
Symptoms survey
(contributed by frostyfeet)
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此网站是非盈利网站。我们会尽最大能力提供任何有关幽门螺杆菌的讯息。您的捐款可以让我们继续帮助更多的病人。
指南
如何贴文?
欧洲幽门螺杆菌治疗共识 5
第五次全国幽门螺杆菌感染处理共识报告
用药后,多久以后可以再做吹气测试?
Should you have any problem in posting, registering, or login, please do not hesitate to contact the admin at Marshall.centre(at)gmail(dot)com. In the subject, please use "Help needed for www.helico.com"
Advertisement is not allowed. While we encourage discussion, please try not to promote your website, goods, or unproven treatment here.
This is a non-profit website. We will try our best to help anyone that has question about H. pylori and their treatment. We shall provide the most accurate answer about H. pylori. You can help us by clicking here to keep this forum alive.
Some useful guides
How to post in the forum?
Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
How long should I wait before doing follow up breath/stool test?
If you are confirmed with H. pylori, in your convenient time, please help us with the symptoms survey that you are experiencing.
Symptoms survey
(contributed by frostyfeet)
此网站免费然您阅读。若想分享心得或提问,请先注册。
若有困难注册,请联络站长 Marshall.centre(at)gmail(dot)com。标题请用 "Help needed for www.helico.com"
此网站不允许打广告。我们欢迎任何的讨论。但尽量不要推销没医学根据的网站,商品或治疗方案。
此网站是非盈利网站。我们会尽最大能力提供任何有关幽门螺杆菌的讯息。您的捐款可以让我们继续帮助更多的病人。
指南
如何贴文?
欧洲幽门螺杆菌治疗共识 5
第五次全国幽门螺杆菌感染处理共识报告
用药后,多久以后可以再做吹气测试?
RUT: positive or negative?
Re: RUT: positive or negative?
Is HELIC ammonia breath test accurate and reliable?
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- Site Admin
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Re: RUT: positive or negative?
I have not used it before. But it's not the recommended test in the guideline.
https://www.ncbi.nlm.nih.gov/pubmed/30118459/
https://www.ncbi.nlm.nih.gov/pubmed/30118459/
CONCLUSIONS:
The ammonia breath test evaluated on this study does not have diagnostic accuracy and is not recommended as a diagnostic tool for Helicobacter pylori infection.
Re: RUT: positive or negative?
Hello again...
I had conduct the endoscopy couple of weeks ago. RUT (dry rut test) was negative after observing for three hours but it turned positive when I saw it after around 20 hours from the test. Also, histology reports came out positive for h pylori.
My previous endoscopy (RUT)which I had contacted in april this year showed negative for h pylori. Moreover, a recent Helic ammonia breath test also showed negative.
I am very much confused. I still have symptoms? Should I go with the histology (biopsy) results or the RUT and breath test?
My GI is suggesting me sequential therapy (amox+ ppi for first four days and then clarithromycin+ metronidazole+ ppi for another 7 days)
I am not even sure whether I am positive or negative for h pylori.
Please suggest
I had conduct the endoscopy couple of weeks ago. RUT (dry rut test) was negative after observing for three hours but it turned positive when I saw it after around 20 hours from the test. Also, histology reports came out positive for h pylori.
My previous endoscopy (RUT)which I had contacted in april this year showed negative for h pylori. Moreover, a recent Helic ammonia breath test also showed negative.
I am very much confused. I still have symptoms? Should I go with the histology (biopsy) results or the RUT and breath test?
My GI is suggesting me sequential therapy (amox+ ppi for first four days and then clarithromycin+ metronidazole+ ppi for another 7 days)
I am not even sure whether I am positive or negative for h pylori.
Please suggest
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- Site Admin
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- Joined: Wed Mar 02, 2011 7:20 am
Re: RUT: positive or negative?
Histology is the recommended gold standard. So i would trust histology result out of all.
I assume you already had metronidazole and clarithromycin before. So perhaps the proposed sequential is not appropriate.
perhaps you can try PPI + Bismuth + tetracycline + metronidazole
This time, try higher dose PPI, eg rabeprazole 20mg TID.
As for your symptoms, you will have to wait till your HP is fully eradicated.
I assume you already had metronidazole and clarithromycin before. So perhaps the proposed sequential is not appropriate.
perhaps you can try PPI + Bismuth + tetracycline + metronidazole
This time, try higher dose PPI, eg rabeprazole 20mg TID.
As for your symptoms, you will have to wait till your HP is fully eradicated.
Re: RUT: positive or negative?
I haven't used metronidazole yet ,but I would like to go for quadruple therapy anyway as I have heard that eradication rate of quadruple therapy is far more than any other antibiotics therapy. What is the actual eradication rate of PBMT therapy?
What about the side effects of metronidazole and tetracycline?
Also, please tell me the exact dosage for this therapy?
Should I take it for 14 days?
What about the side effects of metronidazole and tetracycline?
Also, please tell me the exact dosage for this therapy?
Should I take it for 14 days?
Last edited by Sajal on Mon Aug 19, 2019 3:42 pm, edited 1 time in total.
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Re: RUT: positive or negative?
PBMT is what we normally prescribe. You need to see a doctor and get their approval. They are responsible for your well being, not this website. Always remember that if you experienced any side effect, your doctor is the one to go to.
P = PPI, Rabeprazole 20mg TID
B = bismuth, 240mg QID
M = metronidazole 400mg TID
T = tetracycline 500mg QID
The common side effects include bad taste in the mouth, change of urine color, very dark stool, diarrhea, constipation, nausea, dizzy, lack of energy, etc.
P = PPI, Rabeprazole 20mg TID
B = bismuth, 240mg QID
M = metronidazole 400mg TID
T = tetracycline 500mg QID
The common side effects include bad taste in the mouth, change of urine color, very dark stool, diarrhea, constipation, nausea, dizzy, lack of energy, etc.
Re: RUT: positive or negative?
What I am going to use is 'colloidal bismuth subcitrate'. It comes with a composition of 120 mg/tablet. The manufacturer's description states its dose as 120 mg.
https://m.indiamart.com/proddetail/pylo ... 32997.html
Should I take 2 tablets a time for four times a day, or 120 mg at a time would be sufficient?
https://m.indiamart.com/proddetail/pylo ... 32997.html
Should I take 2 tablets a time for four times a day, or 120 mg at a time would be sufficient?
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- Site Admin
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Re: RUT: positive or negative?
Yes, you can take 2 tablets. BUT please talk to your doctor about it and have him aware of this. So he can monitor your side effect.
Re: RUT: positive or negative?
I have ordered a box of colloidal bismuth subcitrate i.e., 56 tablets(120 mg/ tablet).
I have read that standard dose of colloidal bismuth subcitrate is 120 mg QID in PBMT. However, I have read people on this forum have gone for higher dose of bismuth.
Does higher dose of bismuth gives higher cure rates?
Is 120 mg of colloidal bismuth subcitrate QID sufficient?
I have read that standard dose of colloidal bismuth subcitrate is 120 mg QID in PBMT. However, I have read people on this forum have gone for higher dose of bismuth.
Does higher dose of bismuth gives higher cure rates?
Is 120 mg of colloidal bismuth subcitrate QID sufficient?
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- Site Admin
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- Joined: Wed Mar 02, 2011 7:20 am
Re: RUT: positive or negative?
higher dose = higher cure rate = higher risk of side effect.
but we have been prescribing 240mg and QID for many years. Nevertheless, you still have to let your doctor know and look after you.
but we have been prescribing 240mg and QID for many years. Nevertheless, you still have to let your doctor know and look after you.