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Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5419
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
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How to best treat h pylori, colonized, with an underlining

Customer Question

how to best treat h pylori, colonized, with an underlining lupus and sjogrens condition
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Bob replied 1 year ago.

The standard treatment should work. This includes 2 weeks of amoxicillin, clarithromycin and a proton-pump inhibitor like Nexium twice daily.

Expert:  Dr. Bob replied 1 year ago.

The "test-and-treat" strategy for H. pylori infection is a proven management strategy for most patients with uninvestigated dyspepsia or epigastric burning who have no “alarm features” (bleeding, anemia, early satiety, unexplained weight loss, progressive dysphagia, odynophagia, recurrent vomiting, family history of GI cancer, previous esophagogastric malignancy, etc).

Expert:  Dr. Bob replied 1 year ago.

In complicated cases, it is best to see a GI specialist. Sometimes scoping (EGD) is needed to visualize the esophagus and stomach and rule out a more serious underlying condition.