Can Antibiotics Effectively Eradicate Helicobacter Pylori Infections?
Can medications for Helicobacter pylori effectively eradicate the bacteria? Hello Dr. Tsai, The examination revealed the presence of Helicobacter pylori. I have already been on anti-H. pylori treatment with Tetracycline, taking two tablets daily for two weeks, but it did not era...
Dr. Cai Anshun Reply:
First-line (1) standard triple therapy: One proton pump inhibitor (PPI) taken twice daily, Clarithromycin 500 mg taken twice daily, and Amoxicillin 1 g (or Metronidazole 500 mg) taken twice daily. (2) Sequential therapy: One PPI taken twice daily, Amoxicillin 1 g taken twice dail...[Read More] Can Antibiotics Effectively Eradicate Helicobacter Pylori Infections?
Persistent Hiccups: Possible Causes and When to Seek Help
Persistent hiccups? Hello, I have been experiencing hiccups for over five months. What could be the cause? I have already been to Chiayi St. Martin Hospital for an examination, but the doctor told me he couldn't find the reason. (I am currently taking medication to treat Hel...
Dr. Chen Shidian Reply:
Hello, Miss: Hiccups may not always have a discernible cause, but symptom management can be implemented while continuously monitoring for any further changes. If necessary, additional examinations can be considered based on the situation. Changhua Hospital cares about your health...[Read More] Persistent Hiccups: Possible Causes and When to Seek Help
Understanding Bad Breath: Exploring Causes and Potential Solutions
Halitosis issues? I have been experiencing bad breath for several years. After researching online, I found that Helicobacter pylori infection might cause bad breath. Therefore, I went to a local lab to get a blood test to check for H. pylori infection, and the results showed that...
Dr. Cai Anshun Reply:
Dear Mr. Ming, Oral malodor may originate from the oral cavity, lungs, or gastrointestinal tract. The unpleasant odor is often caused by bacterial fermentation, which may explain the reduction in odor you experienced while taking antibiotics. However, a negative blood test for H...[Read More] Understanding Bad Breath: Exploring Causes and Potential Solutions
Persistent Bloating and Discomfort: Is It Just GERD or Something More?
For the past six months, I have been experiencing constant bloating, belching, difficulty breathing, and it is also accompanied by nausea and loose stools? For the past six months, I have been experiencing constant bloating, belching, and shortness of breath. Sometimes I feel nau...
Dr. Chen Shidian Reply:
Hello, sir: It appears that you have a disorder of gastrointestinal motility, so medication treatment and dietary adjustments are still necessary. The necessity of continuing the PPI can be discussed with your physician. Additionally, it may be worthwhile to check for any liver, ...[Read More] Persistent Bloating and Discomfort: Is It Just GERD or Something More?
Is Follow-Up Testing Necessary After Helicobacter Pylori Treatment?
Helicobacter pylori infection I was diagnosed with a Helicobacter pylori infection during my gastroscopy this year and underwent a 7-day course of medication. My doctor has recommended a carbon-13 urea breath test to monitor whether the Helicobacter pylori has been eradicated. Is...
Dr. Chen Qifeng Reply:
Hello: After one week of eradication therapy for Helicobacter pylori, it is recommended to undergo a C13 breath test one month later to confirm whether the eradication was successful. If unsuccessful, consideration should be given to changing medications or opting for second-line...[Read More] Is Follow-Up Testing Necessary After Helicobacter Pylori Treatment?
Effective Treatment Options for Helicobacter Pylori Infection and Gastritis
Helicobacter pylori infection I underwent an upper gastrointestinal endoscopy in February of this year, and the results showed chronic superficial gastritis with Helicobacter pylori infection. What is the recommended treatment?
Dr. Chen Qifeng Reply:
Hello: For patients with gastritis combined with Helicobacter pylori, treatment guidelines recommend that only those with refractory gastritis should undergo bacterial eradication therapy for Helicobacter pylori. Wishing you peace and health. Sincerely, Dr. Chi-Feng Chen, Departm...[Read More] Effective Treatment Options for Helicobacter Pylori Infection and Gastritis
Persistent Stomach Ulcer: Is 4 Months of Treatment Enough?
I have been taking Nexium for over three months, and my gastric ulcer has not improved? Hello Doctor: I visited a local hospital due to stomach discomfort and underwent an endoscopy, which revealed the presence of a gastric ulcer. The doctor prescribed Nexium for four months alon...
Dr. Chen Shidian Reply:
Dear Mr. Tseng: Generally, the treatment of ulcers with sucralfate is effective and rapid; however, if there is repeated irritation to the gastrointestinal tract or if it is related to motility issues, the situation may be different. In any case, it is important to take the medic...[Read More] Persistent Stomach Ulcer: Is 4 Months of Treatment Enough?
Do I Need Another Endoscopy After Gastric Mucosal Changes?
Gastrointestinal endoscopy 2 I had a previous gastroscopy that showed superficial gastric ulcers, and the biopsy results indicated intestinal metaplasia. The doctor asked if I had Helicobacter pylori, and the biopsy at that time showed no Helicobacter pylori infection. I have jus...
Dr. Chen Shidian Reply:
Hello, sir: You may want to discuss further with your gastroenterologist. Changhua Hospital cares about your health. Chen Shidian[Read More] Do I Need Another Endoscopy After Gastric Mucosal Changes?
Do Multiple Gastric Polyps Require Surgical Removal?
Is it necessary to remove multiple hyperplastic gastric polyps? Hello Dr. Lin, I recently had an endoscopy that revealed multiple small polyps, but my doctor only performed a biopsy. Is there a need to consult another doctor for surgical removal?
Dr. Lin Minghui Reply:
Hello: Whether gastric polyps need to be completely removed depends on the histological type, size, and location. Hyperplastic polyps are generally recommended for removal if they are larger than 2 cm, if they have a stalk, or if there has been a history of bleeding. Hyperplastic...[Read More] Do Multiple Gastric Polyps Require Surgical Removal?
Understanding Helicobacter Pylori Infection: Testing and Concerns
Helicobacter pylori Helicobacter pylori infection occurs primarily through oral-oral or fecal-oral transmission, often through contaminated food or water. To determine if you have an H. pylori infection, several tests can be performed, including a breath test, stool test, blood t...
Dr. Chen Qifeng Reply:
Hello: Generally speaking, Helicobacter pylori is transmitted orally, but it may also depend on individual gastric mucosal environmental conditions. There are various methods for detecting Helicobacter pylori, including serological blood tests, gastric biopsy, and the C13 breath ...[Read More] Understanding Helicobacter Pylori Infection: Testing and Concerns
Understanding Stomach Ulcers: Questions About Treatment and Diagnosis
Gastric ulcer -- It's me again, sorry..? Dr. Tsai, I apologize for bothering you again. I have a few more questions, and I hope you can forgive me. 1. Is there a better medication for gastric ulcers than "Bai Yi Kui"? I've been taking one pill a day for a we...
Dr. Cai Anshun Reply:
Hello: 1. Other medications similar to rabeprazole include omeprazole (Prilosec), pantoprazole, esomeprazole (Nexium), and lansoprazole (Prevacid). These are all proton pump inhibitors that block gastric acid secretion, preventing stomach ulcers from being exposed to acidic env...[Read More] Understanding Stomach Ulcers: Questions About Treatment and Diagnosis
Should You Test for H. Pylori After Endoscopy for GERD Symptoms?
After undergoing an upper gastrointestinal endoscopy and taking the medication, the symptoms still persist..? About a year ago, I had an upper gastrointestinal endoscopy, and the doctor diagnosed me with gastroesophageal reflux disease (GERD) and gastritis. At that time, the doct...
Dr. Cai Anshun Reply:
Hello, (1) To clarify, Helicobacter pylori is not directly related to gastroesophageal reflux disease (GERD). (2) If you have been diagnosed with a Helicobacter pylori infection but do not have a history of gastric ulcers, duodenal ulcers, gastric lymphoma, a history of gastric c...[Read More] Should You Test for H. Pylori After Endoscopy for GERD Symptoms?
What Happens If Helicobacter Pylori Is Not Eradicated?
If Helicobacter pylori is not eradicated, it can lead to several complications, including chronic gastritis, peptic ulcers, and an increased risk of gastric cancer. Persistent infection may also contribute to the development of mucosa-associated lymphoid tissue (MALT I was diagno...
Dr. Lin Minghui Reply:
Hello: 1. Helicobacter pylori is associated with chronic gastritis, peptic ulcers, and gastric cancer. There are many causes of gastric ulcers, and eradicating Helicobacter pylori can reduce the recurrence rate of ulcers. 2. A small number of individuals may have persistent Helic...[Read More] What Happens If Helicobacter Pylori Is Not Eradicated?
Understanding Stomach Ulcers and H. Pylori: Diagnosis and Treatment Insights
Helicobacter pylori and gastric ulcers In early May of this year, I underwent an endoscopy and was diagnosed with a gastric ulcer, and tested positive for Helicobacter pylori. I took a 7-day course of antibiotics (two types) along with one ulcer medication. A month later, in mid-...
Dr. Cai Anshun Reply:
Hello, (1) If a gastroscopy reveals a gastric ulcer, there are generally two approaches: Approach 1: If the gastric ulcer does not appear malignant under endoscopy, a small tissue sample is taken from the ulcer and cultured in a medium containing urea to detect Helicobacter pyl...[Read More] Understanding Stomach Ulcers and H. Pylori: Diagnosis and Treatment Insights
Post-Duodenal Bleeding: Addressing Concerns After Hospital Discharge
Duodenal bleeding: Issues after hemostasis? Hello doctor, on February 17th, I was diagnosed with a duodenal ulcer with bleeding after passing a large amount of bloody stool (dark purple color) and was hospitalized for about four days. During my stay, I did not eat anything due to...
Dr. Chen Shidian Reply:
Hello Mr./Ms. Chen, After duodenal bleeding, sometimes the old blood may gradually be expelled, and its odor and appearance can be similar to that during the bleeding. If there is a persistent presence of black stools, it is important to be concerned about the possibility of on...[Read More] Post-Duodenal Bleeding: Addressing Concerns After Hospital Discharge
Understanding Duodenal Ulcer Treatment and Managing Symptoms
Treatment of Duodenal Ulcer Hello Doctor, I recently underwent an upper gastrointestinal endoscopy due to discomfort in my stomach, and the doctor mentioned that I have a mild duodenal ulcer without Helicobacter pylori infection. I was prescribed Pantoprazole for two months. In t...
Dr. Li Yongming Reply:
Nexium (esomeprazole) belongs to the class of proton pump inhibitors and is currently the strongest antacid approved by the Taiwan Ministry of Health and Welfare. Commonly used proton pump inhibitors include Pantoloc (pantoprazole), Nexium (esomeprazole), Pariet (rabeprazole), an...[Read More] Understanding Duodenal Ulcer Treatment and Managing Symptoms
Understanding Duodenal Ulcers and H. Pylori: Seeking a Second Opinion
Ulcers and Helicobacter pylori? Hello: A couple of weeks ago, I had an upper gastrointestinal endoscopy, and the doctor told me that I have a duodenal ulcer. He prescribed two types of antibiotics, along with a medication for Helicobacter pylori and an antiemetic. On that day, th...
Dr. Chen Qifeng Reply:
Hello: Duodenal ulcer combined with Helicobacter pylori infection is clinically treated with a triple therapy (two antibiotics + ulcer medication), primarily aiming to eradicate Helicobacter pylori to reduce the risk of ulcer recurrence. If you wish to seek treatment at another h...[Read More] Understanding Duodenal Ulcers and H. Pylori: Seeking a Second Opinion
Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Waking up in the middle of the night with a sore throat? Hello Doctor: I have a gastric ulcer and underwent gastroscopy in January and May (with Helicobacter pylori infection). In January, I had to take antibiotics for a week (a total of ten pills per day) to treat the ulcer. Dur...
Dr. Chen Qifeng Reply:
Hello: In terms of gastroenterology, it is recommended to check liver function and assess for the recurrence of ulcers or the condition of gastroesophageal reflux. Best wishes, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.[Read More] Why Does My Throat Taste Bitter at Night? Understanding Nighttime Symptoms
Understanding Stomach Ulcers: Dietary Habits vs. Stress Factors
Stomach Hello, the doctor mentioned that I have an ulcer after my gastroscopy. I would like to ask if the cause of the ulcer could be due to irregular eating habits, or is it more likely due to stress? Thank you.
Dr. Lin Minghui Reply:
Hello: The causes of peptic ulcers are numerous, including: 1. The causes of peptic ulcers include Helicobacter pylori infection, excessive gastric acid, medication-induced damage to the gastric mucosa, bile reflux, smoking and alcohol consumption, stress, and the loss of protect...[Read More] Understanding Stomach Ulcers: Dietary Habits vs. Stress Factors
Post-Ulcer Diet: What to Avoid After Treatment for Stomach Ulcers
Diet After Ulcer Healing Hello doctor, due to long-term stomach discomfort, I recently underwent an endoscopy, and the results showed that I have an ulcer and Helicobacter pylori infection. I am currently undergoing antibiotic treatment. I would like to know if I will be prone to...
Dr. Chen Qifeng Reply:
Hello, generally speaking, the success rate of Helicobacter pylori treatment is around 80%. If the treatment is successful, there is a very low chance of reinfection or recurrence. However, although the recurrence of ulcers is primarily associated with Helicobacter pylori, it is ...[Read More] Post-Ulcer Diet: What to Avoid After Treatment for Stomach Ulcers