neo235
Forum Newbie
Topics: 10
Posts: 30
|
please answer anyone
if gastric ulcer with H.pylori is present
what would be the treatment
is it ranitidine or against H.pylori
please answer exam is near
|
| smal
Forum Guru
Topics: 140
Posts: 727
|
for H.pylori?
and we can do H.pyori breath test or fecal antigen test to confirm its erradication after 2 weeks of rx.
___________________
remedy for weakness is not brooding over it ,but thinking of strength.
|
| neo235
Forum Newbie
Topics: 10
Posts: 30
|
so v have to give ranitidine to this pt? and then against h.pylori
|
| elitoki
Forum Guru
Topics: 54
Posts: 508
|
When you are suspecting Duodenal Ulcer in pt. you should start in empiric treatment including antibiotic because DU coexist H. pylori infection.
Gastric Ulcer that had been confirm presence of H. pylori also need to start three combi meds.
you can combine AMOXICILLINE, CLARITHROMYCIN, OMEPRAZOLE (PPI)
or choose less expensive treatment with 2 antibiotics between Erythromycin, Ampicillin, Amoxicillin, Tetracycline, Metronidazole and add one PPI.
Ranitidine could be given but PPI is more effective.
|
| sprint123
Forum Guru
Topics: 129
Posts: 870
|
Faecal antigen test for H.pylori???? Interesting----Can anyone explain on that?
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
To diagnose H. pylori--- Serology (sensitive) and Biopsy (specific)
To monitor treatment--- Breath test and Stool Ag test
However if you have a patient with dyspepsia <45y/o and NO alarm symptoms, you can use one of the non-invasive tests for H.pylori (Serology or Breath Test)
If the test is Positive--> Start AB Therapy (PPI, Amoxicillin, Clarithro)
If the test is Negative --> Start PPI, H2 Blockers, or Prokinetic
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| GOGETA
I'm Dr. GOGETA
Topics: 321
Posts: 2,718
|
Use of H2 blocker gives you a 50% healing
Use of a Proton pump inhibitor gives you a 80% healing
Remember that smoking will exarcebate the ulcer and will most likely recur.
so Like Fara says advise of stop smoking, to everyone
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
|
| |
| | | | | | | |
