Gastroenterologist, Gastroenterology Journal

Question: doctor, I am 38 years old. Been treated at the chronic gastritis associated with H. pylori by the scheme (7 days): omez 20mg x 2p; amoxicillin 1000mg x 2p. , Clarithromycin 500 mg x 2p. After 3 weeks – urea breath test positive (an increase of 26 mm). The doctor said that even the tube is not enough! Suspected violation dosage or re-infection in the family. Assigned: esomeprazole 20 mg x 2p; de-nol or analogs 120mg x 4s; metronidazole 500mg x 3p; tetracycline 500 mg x 4 rows. (10-14 days). I told the doctor that had me several times prescribed metronidazole, and I have on the background every time thrush. The doctor changed the scheme: esomeprazole 20mg x 2 p; amoxicillin 1000mg x 2p, tetracycline 500 mg x 4 p (at 10-14 days), saying: "or even spit and do not treat!" If possible, explain, please: 1 . What may be due to the lack of effect from the first course (all assignments strictly adhered to, no smoking, no drinking, no antibiotics had not taken!) 2. Does it make sense to be treated again on a triple scheme with the same, and + (as I understand) the weaker antibiotic or better tolerated, and then treat the effects of metronidazole? 3. Still 10 days or 14? And is this too long course? Thank you.

Answer: 'goals: getting rid of carriage of the microbe or to improve well-being? Feeling not described (as well as, and endoscopy protocol), but it can not change for the better immediately after antimicrobial treatment. From microbe after such a chaotic treatment will be difficult to remove. The lack of effect of the first year due to the fact that microbes are usually resistant to metronidazole.

Question: Good day! Stomach always bothered me, but the survey never took place. Now I am 27 years old. 10 years ago in the summer I have had angioedema and urticaria, but after the injection all over. Allergists placed on the pollen. . . But in the winter swelling appeared again and again for an hour all over. That was over 6 years. 2-3 times per year. And one day I was sent to fibrogastroduodenoscopy, where he found an ulcer 12-duodenum and helicobacter. After treatment all over, 4 years no allergies! I became pregnant and gave birth to a healthy baby. And then again on December 24 edema. . . . I was horrified. Was tested: no ulcer, gastritis, but again just helicobacter. QUESTION: Can occur due to swelling helicobacter ???????????????

Answer: Cases of angioedema connection with Helicobacter pylori are not known to me.

Question: doctor! My son (17 years) after antibiotic treatment of sinusitis, there was a raid on the tongue of a dark gray color. A couple of days has passed, but the tongue is 2-3 days was wrapped with white bloom. The same pattern was observed 4 months ago, after taking antibiotics. Gastroenterologist appointed to respiratory helik test. Result positive (basal level-1, load-5, growth rate-4). After the test, read online that two weeks before the test can not take antibiotics and other drugs, which he took 9 days ago. Could this affect the outcome and there is a need in the treatment of bacteria? Thank you in advance.

Answer: This is not the point: the tongue inhabit very different microbes.

Question: Doctor, is it possible to parallel with the standard triple scheme (amoks., Clara., IPP) to take Creon enzyme and probiotics Lineks. I should also be very grateful if you can give advice on diet during treatment with HP-Assoc. pangastrita (antral and fundic cron. surface. Active 2ST. HP + + +) or link (but it's better advice:). Also interested in the question, Does HP-gastritis effect on the pancreas (ultrasound revealed diffuse changes)? And can we find the relationship between HP with the risk of urolithiasis? With respect, Alexander (Minsk)

Answer: 1. It is possible, but not necessary. 2. During the antimicrobial treatment of food as usual. In general, depends on the clinical manifestations, ie, the complaints:) 3. Not provided. 4. There are assumptions about the connection with the microbes, but not with these.

Question: The question of doctor-gastroenterologist: I have a few questions: 1) I'll show treatment ljamblii found in the liver, and Helicobacter pylori class lg (more than 8, the rate-up to 0,9). Now I am not at the place of residence, and must be treated. 2) And one more question, I began to itch very eyes, sometimes very strongly and allergist said it was because of this. Maybe this? 3) 2 years ago, went to sea in the Crimea and 3 weeks the whole camp was in bed with their stomachs and drink activated charcoal (for us there was more than 2 thousand people). Epidemic whole. They say the release was rubbish in the sea. Doctor's visit, they said kind of E. coli. It is possible that this is the stick kkotoruyu I find? On arrival, I went to the doctor and saw some pills. Do I need to inform their friends that they also checked. 4) My husband, too, to treat it? 5) whether to take the "breath test" (you constantly refer to it) to verify the diagnosis. 6) if I have diarrhea very often it is because of this infection? All writing that they have serious problems with his stomach, as I am concerned only diarrhea and scabies in her eyes, no pain. Do you think the moment I have nothing serious? (Gastritis is of course, checked by gastroendoskopii year ago). Thank you for your patience. 27.

Answer: 1. It is not clear that the need for treatment (on ljamblii, for example – http://doktor. Ru / qa / gastro / article. Html? Id = 57689). 2. Very doubtful. 3. Perhaps, but without knowing the details about the disease can not be judged. 4. No. 5. In this case, no. 6. No.

Question: Thank you for having responded (http://doktor. ru/qa/13938/qa. html? id = 90214)! The pain began on April 17, burning in my left side, constant belching, often hungry. April 20 evening, adopted the "Almagel-A" one hour after meal 2 scoops at night. April 21 drank the same "Almagel-A in the morning and afternoon on 2 tablespoons of the 21 st in the evening fever (37.8), headache, nausea. Once torn, nausea passed. At night, drank "Antigrippin. (I thought that I ARI) 22 th, the morning temperature was sleeping, abdominal pain, were cutting-burning, and attacks, severe headache. Began to take: "Omez" morning; "Maalox", "Mezim and Detsitel" before meals 3 times a day. Villages on the appropriate diet. By the evening of 22-th temperature 37,00 23rd temperature and headaches are gone. Now, with the treatment which I have described the pain is not severe, but constant, and seizures occur cutting-burning pain on the left side or around the intestines. Belching preserved. Stool normal. In principle, it became a little easier, but nothing more. I forgot to write the last time that I bend the neck of the gallbladder. Many thanks in advance, waiting for your response! Sincerely, Elena

Answer: The questions were: 1) can now be treated independently for the first phase (pariet, Maalox, ditsetal, mezim) to bring myself up, or 2) must be again tested for the presence of helicobacter and Giardiasis? ? 3) whether there is a less expensive analog parieta replaces whether it Omez? Answers: 1) If the temperature is normal, abdomen soft, paroxysmal pain, and not permanent, it can be treated with diet alone, and you mentioned drugs. 2) no. 3) omez perfect substitute (20 mg x 2 pp.).

Question: Good morning doktorMne 28 years, catarrhal gastritis, reflux, scar deformity bulbs KDP, hiatal hernia diafragry periodically the contents of the stomach – mucus mixed with bile, has three scars on the bulb. Be tested for gastrin – negative, also tested for antibodies H. P. – 299 units at a rate of less than 15. Propyl course of Amoxicillin and klabaksa 500 mg twice a day every two weeks and De-Nol for two or three times a day for three weeks, as well as Lineks to 2 three times a day for three weeks. Recently had a biopsy done and the analysis of H. Pilory – available only here they have identified the presence and the number is not mentioned. Also, again, was tested for antibodies H. P. – 173 units at a rate of less than 15, tests for antibodies was taking at the Institute Gabrichevskogo on Water. In connection with the gall to drink motilium two tablets a day 4-6 weeks two to three times a year. Regarding hiatal hernia did X-ray, the radiologist confirmed the hernia is not at all, a gastroenterologist says that he believes himself rather than X-rays. The course: every month, "swallow up" and once every two months which revealed that erosion, accept pariet 20 mg once a day for two weeks and all the passes, but the fact is that after 2-6 months, everything is repeated again. In this regard, there are lots of questions, but I would like to receive answers even if these are not deleting the nerve: 1. Why not help a course of antibiotics? 2. What to do with common manifestations of ulcer-erosion? 3. Who should we believe for hiatal hernia? 4. Is being treated me, doctor appointments, because all the doctor did not advocate H. Pilory? Thank you in advance az their time and answers voprosySpasibo

Answer: 1. Effectiveness protimomikrobnogo treatment can not be measured by the level of antibodies in the blood, and the impact of the recommended schemes of the Ministry of Health does not exceed 60%. 2. Peptic ulcer disease treated by correspondence can not, all is not so primitive (see eg. Http://doktor. Ru/qa/13938/qa. Html? Id = 76555). 3. Hernial protrusion adjustably, not necessarily found in all circumstances, but you have not read the conclusion, and the study protocol. 4. Excuse me, but in absentia examination prescribed treatments do not spend.

Question: Doctor! My mother, when a survey found erosive gastroodenit with substradiey mucosa duodeno-gastro. reflux. The doctors said that it helicobacter. She often worried about heartburn, in the mornings sometimes vomiting. Doctors said that the need to find a good antibiotic, and prescribe the cheapest, there is no effect. I would like to know what is the cure?

Answer: In my opinion, antibiotics are not needed in any case – it is not the main treatment. Micro heartburn and vomiting is.

Question: I'm 26 years old. After a pregnancy plagued by pain in his stomach. Did a gastroscopy, put the following diagnosis: gastroduodenitis duodenogastralny reflux, catarrhal terminal reflux, giperatsidnost fasting with a decrease alkalify function in antrum, helieobakter pylori-positive. Gastroenterologist appointed geviskon, and Venter, because these drugs may be used when breastfeeding. Please tell naskolno effective such treatment? I accept the medication for 3 days, and the special effects are not noticed, there is no heartburn (yes and no), and the severity and dull pain remained. It is, in general, with such diseases may complete recovery? I was frightened some publications about GERD. In this connection the question arose, how real escalation of the disease to more terrible consequences? And yet, is it possible to combine the data of the disease with another pregnancy?

Answer: "weight and dull the pain" of unknown localization, not described in detail. Try candles with belladonna.

Question: Dear doctor! 1. my grandmother, she was 69 years old found heliobakter, a medicine against him, I found called "Pilobakter," I told her she went to the chemist has found a cure but there are many side effects (of course the same antibiotic, and it is heavy) at all, it is requested I find it some other medication, but I'm at a loss. Can you advise something? 2. Complaints about the complete lack of appetite, eats it, through force, it has been going on for 6 months. , Empty impulses in the intestine whistles and all the "twists" and put the diagnosis: Helicobacter, as well as colitis and ptosis of the stomach. While the chair daily, but different, then the liquid, then solid. Can she take Pilobakter, or is it a more gentle remedy for mikrofroly? She is banned from all sour, salty, spicy, fried, fresh bread products, and much more, and what you can eat? it is very thin and grown old over the course of this disease.

Answer: I would not give her Pilobakt, because these summarized intestinal complaints could not be explained by the presence of a microbe. And in the absence of appetite is not forbidden to eat all delicious. Come to the reception, if desired.