How is H.Pylori-positive gastric ulcer treated?

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Question
Hello doctor,
Every day I have a stomach ache and go to the hospital to get tested, I have a stomach ulcer HP, take medicine and then feel no more pain. However, after 2-3 weeks, the abdomen keeps having burning discomfort, bloating, flatulence, discomfort. Doctor let me ask, how to treat H.Pylori-positive stomach ulcers?
Tran Van Manh Phu (2005)
Answer
Answered by Specialist Doctor I Dong Xuan Ha - Gastroenterologist - Department of Medical Examination & Internal Medicine, Vinmec Ha Long International Hospital.
Hello,
With the question "How is H.Pylori-positive stomach ulcer treated?", the doctor would like to answer as follows:
In your diagnosis is H.Pylori-positive gastric ulcer. . Thus, you have two problems: stomach ulcers and positive H.Pylori.
Normally, the doctor will give H.Pylori killer first, after 14 days if the symptoms are okay, stop the drug for at least 01 month and go to test for H.Pylori to see if it's gone, this is only for cases of superficial ulcers. , mild, no risk of bleeding. These cases are usually negative after H.Pylori treatment, the disease is also fine.
In your case after 2-3 weeks of treatment, if discomfort, bloating, burning symptoms reappear, some of the following situations may occur:
H.Pylori eradication regimen is not effective for with you. The ulcer has not yet healed and is still inflamed. After taking the medicine, there are other causes such as stress, diet, and activities that make the ulcerative lesions that have not yet healed are completely affected again. You need to contact your doctor right away to review and continue treatment.
If you still have questions about stomach ulcers, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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