Helicobacter pylori
A few days ago, my mother went to the hospital for a check-up and was found to have Helicobacter pylori.
The doctor prescribed her medication that includes metronidazole, clarithromycin, and amoxicillin.
After taking the medication for a few days, she has experienced symptoms of chest tightness and dry mouth.
Is this normal, doctor?
Wang, 20~29 year old female. Ask Date: 2016/11/28
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you experience discomfort, it is recommended to stop taking the medication and drink plenty of water.
If the discomfort persists, please return for a follow-up or visit the emergency department to determine if there are other underlying causes.
Generally, these medications are not likely to cause chest tightness; however, if they are in capsule form, it is advisable to drink water after taking them.
Otherwise, the capsule may get stuck in the esophagus, which can lead to esophageal ulcers and symptoms of chest tightness.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.
Reply Date: 2016/11/28
More Info
Helicobacter pylori (H. pylori) is a type of bacteria that can infect the stomach and is known to cause various gastrointestinal issues, including peptic ulcers and gastritis. The treatment for H. pylori typically involves a combination of antibiotics and proton pump inhibitors (PPIs) to effectively eradicate the bacteria and reduce stomach acid, which helps heal the stomach lining. Commonly prescribed medications include metronidazole, clarithromycin, and amoxicillin, often combined with a PPI like omeprazole or rabeprazole.
Regarding the side effects your mother is experiencing, such as chest tightness and dry mouth, it is important to understand that while these medications are generally well-tolerated, they can cause side effects in some individuals. Common side effects of the antibiotics used in H. pylori treatment include nausea, diarrhea, and abdominal discomfort. However, chest tightness is not a typical side effect of these medications and could indicate a different issue, such as an allergic reaction or irritation of the esophagus.
The dry mouth your mother is experiencing could be related to the medications, as some antibiotics can cause changes in saliva production. It is also possible that the dry mouth is a result of dehydration, especially if she is experiencing gastrointestinal side effects like diarrhea. Encouraging her to drink plenty of fluids can help alleviate this symptom.
If your mother is experiencing persistent or severe symptoms, it is crucial to consult her healthcare provider. They can assess whether the symptoms are related to the medications or if there is another underlying issue that needs to be addressed. In some cases, the healthcare provider may recommend adjusting the dosage or switching to a different medication.
In terms of treatment adherence, it is essential for your mother to complete the full course of antibiotics as prescribed, even if she experiences side effects. Stopping the medication prematurely can lead to antibiotic resistance and treatment failure, making it more difficult to eradicate the H. pylori infection.
It is also important to note that the treatment regimen for H. pylori can vary based on local antibiotic resistance patterns and individual patient factors. Therefore, if your mother’s symptoms do not improve or if she has concerns about her treatment, she should follow up with her healthcare provider for further evaluation and possible adjustment of her treatment plan.
In summary, while some side effects are common with H. pylori treatment, chest tightness is not typical and should be evaluated by a healthcare professional. Ensuring proper hydration and adherence to the prescribed treatment regimen is essential for effective eradication of the bacteria. If symptoms persist or worsen, seeking medical advice is crucial for her health and well-being.
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