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H.pylori problem
I have taken endoscopy and results came that h.pylori infection and given some medications.its 6 th day still iam getting pain after food and also on empty stomach
Answers (23)
Mucosal lining of stomach will be damaged from H.pylori infection as well as from excess acid secretion within stomach. Though you have started medicine for H.pylori, it takes time for its complete eradication. And mucosal damage takes time to heal. Continue to take antacids and complete the course of H.pylori infection.
It would have been nice if you have added medications that you are taking.
Next Steps
Feel free to consult me on practo for further management
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H. pylori treatment typically takes 10-14 days, and stomach pain during the treatment course is common as the infection is being eradicated. It usually takes a few weeks after completing the full course for the stomach lining to heal and symptoms to fully settle. Continue the medications as prescribed and avoid spicy, oily food.
Next Steps
Complete the full antibiotic course without stopping early, and follow up with your doctor after treatment for a H. pylori test to confirm eradication. Please consult me directly on Practo for a detailed evaluation.
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For H. pylori infection take:
1. Amoxicillin 1000 gm twice daily.
2. Clarithromycin 500 mg twice daily.
3. Pantoprazole 40 mg twice daily, on an empty stomach.
Take all 3 for 14 days.
Next Steps
Eat smaller, frequent meals.
Avoid spicy, acidic, fried, or processed foods.
Avoid caffeine and alcohol.
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Your pain and symptoms need further evaluation. Till then you should continue the course of your medications. Adding An antacid syrup will help.
What is the prescribed medicines ? Where exactly is the location of pain ? Any weight loss or change in stools ?
You can consult me on practo.
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It is not unusual to still have stomach pain on the 6th day of treatment for H. pylori. Symptoms often take several days to a few weeks to improve, even after starting antibiotics and acid-reducing medicines. However, persistent pain after eating and on an empty stomach may mean that the stomach lining or an ulcer is still healing, or that the treatment needs review.
Make sure you are taking all medicines exactly as prescribed and avoid smoking, alcohol, spicy foods, and painkillers such as ibuprofen or diclofenac unless advised by your doctor.
If the pain is severe, worsening, associated with vomiting, black stools, weight loss, fever, or difficulty swallowing, contact your doctor promptly. Please tell me which medications you were prescribed and where the pain is located, and I can provide more specific information.
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