Once, I was chatting with a fan in a private message and he asked me a question, “I had a gastroscopy and came out with H. pylori infection, I continue to smoke while taking medication, is there any effect?” At that time he asked me this question, I thought about it, smoking and the treatment of H. pylori how big the relationship between this, I really have not seriously studied, so I read a lot of medical books and review the relevant papers, the results show that the relationship between smoking and H. pylori drug treatment is not clear, can simply say that there is not much significance, but interestingly, smoking can lead to cardia relaxation and easily induce reflux esophagitis. So far, in fact, answering this fan’s question itself has not been much of a challenge, but I thought of another question, how to take regular medication to eradicate H. pylori for those who have already established H. pylori infection?
So far, I can clearly tell you friends, once H. pylori is determined to be positive, you can clearly determine that there is H. pylori infection, H. pylori infection is prone to recurrence, and H. pylori infection can lead to a series of clinical symptoms, such as bad breath, gastric ulcer, duodenal ulcer, superficial gastritis, atrophic gastritis, and even gastric cancer, but as this current prevention Today, how many friends who have been infected with H. pylori have really paid attention to how to take regular medication to avoid recurrent H. pylori infections, which cannot be cured? And how many friends know that because of the recommendation of friends who do not know medicine, believe in prescriptions, miss the time, resulting in serious diseases of the stomach, today, I will pose for the big guys these people abhor the eradication of H. pylori program.
The treatment of H. pylori is commonly a triple or quadruple drug therapy program, exactly that triple or which quadruple it?
Amoxicillin Jun family: common is amoxicillin capsules, in fact they are a class of ampicillin, because of the medical-specific terminology involved, I use the most familiar amoxicillin capsules as a representative, of course, in the penicillin-allergic population, it is recommended not to try the drug with their bodies, we have other drugs can replace the amoxicillin Jun family, such as: clarithromycin, levofloxacin, dysentery Tetracycline, etc. are available.
Metronidazole family: Metronidazole and Ornidazole are the main classes of metronidazole, because Ornidazole has a lighter gastrointestinal reaction, so it is easy to be recognized, what is a light gastrointestinal reaction? Perhaps some friends do not understand, I have experienced the but of these two drugs, metronidazole after taking felt hot and spicy in the stomach, always uncomfortable, a little want to vomit, vomit can not come out, this is what we call the gastrointestinal tract reactions heavy situation, and Ornidazole on this reaction situation than metronidazole much lighter.
Omeprazole family: We often see a series with omeprazole are esomeprazole, lansoprazole, pantoprazole, rabeprazole, etc., they have the same principle of action, but the effect varies from person to person, can not be generalized.
Colloidal bismuth family: the common one is colloidal bismuth, and there are also bismuth trimethylene di-citrate and bismuth subcarbonate.
The drugs that can be used is the above situation, I have given you the most common language interpretation, I do not know whether you understand, if you understand, please reply to the article “understand”, if not, please @ white coat Haozi, I will give you interpretation.
Then we take drugs how to take it?
Penicillin family, in accordance with the instructions of the regular dosing measurement, metronidazole family, also in accordance with the instructions of the measurement, omeprazole family, only once a day, more is also useless, and sometimes counterproductive, measurement can refer to the instructions. For the colloidal bismuth family, refer to the instructions for measurement, three times a day, all taken orally before meals, the important thing to say three times in bold and red, all taken orally before meals, all taken orally before meals, all taken orally before meals.
All the above medication course of treatment is 7-14 days. The important thing is to say it three times in bold and red.
I give you a most guaranteed treatment plan, penicillin family choose a drug (including penicillin allergy alternative drugs) + metronidazole family of a drug + omeprazole family of a drug can be, adhere to the medication 14 days, in general, can completely eradicate H. pylori, what bad breath ah, small ulcers ah, superficial gastritis ah, all solved, the premise is to take the medication regularly 14 days The consequences of missing the medication can be large or small, small is the repeated treatment of H. pylori, in the 14 days when it can not be eradicated, large is the cause of H. pylori resistance (that is, some drugs do not work on H. pylori), must be changed, so once the door to the treatment of H. pylori, adhere to the regular 14 days, to return you to a H. pylori-free stomach.
So far, it is difficult to say goodbye to the H. pylori gentleman, finally goodbye.
This article is published with the authorization of Dr. Hao Wang, please do not reproduce without authorization