Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): my gastroscopy report Microscopic diagnosis: 1, superficial-atrophic gastritis gastric sinus: mucosa red-white, locally predominantly white phase, and a small shallow erosion is visible, mucosal congestion. 2, duodenal ulcer bulb, stage A2 with blood crust 3, positive for H. pylori 4, pathology: chronic non-atrophic gastric sinusitis chronic inflammation, it is written a + quadruple therapy a week metronidazole 0, 4g + metric clarithromycin 0, 5g + bismuth citrate + omeprazole) after a week of sterilization, I ate four days of omeprazole, one in the morning and one in the evening, and then it was a morning omeprazole (Oxy) interrupted a week Bismuth citrate, now one capsule in the morning and one capsule in the evening In your busy time to ask you 1, I sterilization when I ate a week of Oxy (omeprazole), two capsules per day, and then ate four days of two capsules per day Oxy, and later was to eat one capsule. The total is 5. 35 capsules, plus 2 at the time of sterilization. Adding up four weeks is still a little short. Is such a course of treatment okay? The size of an ulcer like mine (an ulcer of about 0.5*1cm, covered with white moss and blood crust, surrounded by congested and edematous mucosa, no abnormalities seen in the descending part.) 2.If possible, I have another 30 capsules of Cinfatin (Famotidine). 3, (bismuth potassium citrate) instructions written: antacids can interfere with the role of this mouth, can not be taken at the same time. I wonder if it will affect the efficacy of the medicine when taken together with Xinfadin and Oxy? Should we separate them? Anyway, I mean, the total is less than four weeks of omeprazole, plus to another two weeks of famotidine, is this enough? Or is it necessary to finish a total of 48 capsules of Bismuth Citrate (Centrum)? Thank you and look forward to your reply Doctor: usually duodenal bulb ulcers with bleeding, Western acid suppressants (famotidine, omeprazole, etc.) need to be taken for 4 to 8 weeks and can be adjusted according to the improvement of symptoms. The 13-C breath test can be rechecked after 1 month of stopping western medicine or gastroscopy and H. pylori can be rechecked in 3~6 months. Potassium bismuth citrate can be taken 1 hour before or 2 hours after meals and at bedtime, and acid suppressants are taken immediately after breakfast and dinner. This will solve the problem that affects absorption. Patient: Thank you for your busy reply, I appreciate it. I am still on a business trip, so I would like to ask you 1. It is said that omeprazole is more effective than famotidine (this is the first time I treat stomach problems). Then take 35 capsules of omeprazole for 3.5 weeks. Then take two weeks of Famotidine. Will this work? Now the morning mild discomfort (is simply omeprazole three and a half weeks can be? The new girlfriend has no gastrointestinal symptoms, so is it necessary to have her checked for hp? If so, I will have to take medication again. The actual situation is not wrong to choose different drugs as long as it is in line with the principle of treatment. The medical examination has a screening program for HP infection, which can be considered. However, it is not advisable to rely on antibiotics and other drugs to prevent H. pylori infection, and Chinese herbal medicine is recommended to prevent and treat it. Your condition has been understood, advice: click here to refer to my article “Is H. pylori Scary? Your condition has been understood, advice: click here to refer to my article “The normal bacteria of our gastrointestinal tract” Patient: Hello in your busy time to bother you I take omeprazole 32 days, (10 days when sterilization, before two capsules per day, after one capsule per day), now taking Famotidine a week, two capsules per night. Can you tell me 1, in my case, can I stop taking Famotidine for another week? That is 32+15 days. The total is 47 days. I am also worried that it is not good to take too much western medicine. If you think you can stop, is it necessary to take up to eight weeks? 2. Does Famotidine have any effect on fertility? Is it better to take it before meals or before going to bed? 3.What are the main points of attention in diet? What are the main dietary concerns? Can I eat beef, chicken and other hairy items? I don’t know if I belong to the situation of “stomach cold”, but I look forward to your guidance in your busy schedule. Doctor: If the symptoms of duodenal ulcer have been relieved, you can consider stopping the drug for observation. The side effects of Famotidine are mainly a decrease in white blood cells, an increase in transaminases and menstrual disorders in women, which should be recovered after stopping the drug. Patients with gastric and duodenal ulcers should usually be careful to eat less sweet and sticky, greasy, sour and spicy, coarse and hard foods. In patients with stomach cold, the main manifestation is a cold feeling or fear of cold in the stomach and epigastrium, and the symptoms can be triggered by a cold diet or weather changes, etc. Patient: Hello again, I have to bother you. Until today I have been taking medicine for 47 days, and my symptoms have gotten much better just a few days ago. In the last week, I have been experiencing some discomfort in my abdomen in the morning (under the condition of deep sleep) similar to the pre-gastroscopy. 1. Is it necessary to continue taking Fotetin until 8 weeks in this case. Or can I just stop? 2. If I have a relapse in the future, what should I do? Because I really don’t want to do gastroscopy again. Is it possible that it is not too serious, so I can stop taking medication and take care of it? Because there is no vaccine for hp, usually reinfection is very high I mean how to deal with it, is it possible to buy medicine to eat. I have also heard that antacids are not good to take too much Thank you, please guide Doctor: Strictly speaking, it is impossible for a doctor to know exactly what dosage of a specific drug is needed for each patient to ensure just the right control of the condition without adverse reactions. According to evidence-based medical statistics, 80% of duodenal ulcers can heal after 8 weeks of standard proton pump therapy.