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Treatment Options for H. pylori in a Patient with Sensitive Stomach
Gastrointestinal Disorders
Question #10412
21 hours ago
17

Treatment Options for H. pylori in a Patient with Sensitive Stomach - #10412

Rafik

I am a 35-year-old male, 180 cm tall. My weight was 61 kg and I was living normally when I suddenly developed dizziness and an unusual sensation of hunger. A general practitioner prescribed medication for acidity, dizziness, and Neofertan, but my stomach did not tolerate them. He later added Gaviscon and an antiemetic, without improvement. The nausea worsened and I stopped eating for one week. I then consulted a gastroenterologist who diagnosed gastric neurosis and increased the proton pump inhibitor to 40 mg, adding another medication and Librax. I improved slightly. After consuming ground dried figs, I had a relapse. Nausea and pain improved afterward, but I developed indigestion, loose stools, and lost 7 kg. The doctor again attributed it to gastric nerves. One month later I felt somewhat better, but dizziness and unusual hunger returned one week after stopping the 40 mg PPI. I underwent liver tests, anemia tests, and H. pylori testing. Results were normal except for confirmed H. pylori infection. The doctor said I might not tolerate eradication therapy at that time, which increased my anxiety. Four months later I had a gastroscopy (fibroscopy), which showed moderate chronic gastritis with H. pylori infection, and Entamoeba cysts in stool analysis. I was prescribed quadruple therapy without bismuth but did not start it due to fear of side effects. Instead, I used propolis, mastic gum, Manuka honey, and some herbs. I regained 1 kg, but loose stools and intermittent dizziness persist. I traveled to visit my wife (she carries H. pylori without symptoms) for one week. After returning, I regularly consumed cinnamon and strong herbs (cinnamon, clove, moringa, licorice, anise, star anise, cumin, black seed, fenugreek) and acidic extra virgin olive oil. I then developed stomach pain, burning, and a relapse. I took Aulcer 20 mg, which caused severe pain, nausea, and a strong urge to vomit. My questions: • Is this a new infection from my wife, irritation from herbs and oil, or progression of H. pylori? • Given my sensitive stomach and chronic inflammation, how can I tolerate eradication therapy? • Can sequential therapy be considered instead of quadruple therapy, and what are its chances of success in my case?

Age: 35
Chronic illnesses: None

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