I’ve been dealing with severe gas and occasional breathing difficulties since August last year. Following multiple consultation and the endoscopy, a mild H. pylori infection was detected, and I completed the full 15-day course of the Sompraz HP kit as prescribed.
However, despite completing the treatment, my symptoms have not improved significantly and continue to affect my daily life. I’m concerned that the infection may not have cleared completely or that there could be another underlying issue.
Answers (1)
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I understand your concern. Even after completing H. pylori eradication treatment, it is common for some patients to continue having gas, bloating, or reflux-like symptoms. Let me explain:
1. Regarding H. pylori:
• The 15-day Sompraz HP kit usually clears the infection, but in some cases, the bacteria may persist.
• The only way to confirm eradication is by a Urea Breath Test or Stool Antigen Test, done at least 4 weeks after stopping antibiotics and 2 weeks after stopping PPI (like Sompraz).
• If H. pylori is still positive → a second-line eradication regimen (different antibiotics) will be given.
2. Other possible reasons for your persistent symptoms:
• Post-infectious functional dyspepsia / reflux hypersensitivity – the stomach and esophagus remain sensitive even after infection clears.
• GERD (acid reflux) – can cause gas, chest fullness, and even breathing difficulty.
• Dietary/lifestyle factors – excess tea/coffee, spicy or fatty foods, irregular sleep, stress, lack of exercise.
• Irritable Bowel Syndrome (IBS) – sometimes overlaps with your symptoms.
Next Steps
• Get a Urea Breath Test / Stool H. pylori Antigen test (as described above).
• Continue PPI/prokinetic (like Sompraz-IT or Cintoshel PR) for symptom control.
• Adopt lifestyle changes:
▸ Eat smaller frequent meals
▸ Avoid late-night food, spicy/oily meals, excess caffeine
▸ Walk after dinner, avoid lying down for 2–3 hrs after food
▸ Elevate head end of bed for reflux
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Gastroenterology
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