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Question
Hello doctor,
I have a full stomach, upset stomach after eating, quickly full and especially when I sit down, my stomach hurts, leaning or standing is okay (first symptom) 1 month ago. After that, I went to a gastroscopy examination and discovered gastric mucosal inflammation - grade A reflux esophagitis and HP was positive. After that, the doctor gave the drug to treat 3 times as follows:
Phase 1: Spasmaverine 30 tablets; Motilium M 20 tablets; Ospamox 500mg; Dudecer 20 tablets; Gastropulgite 20 tablets; Clarithromycin 250mg. Phase 2: Spasmaverin 30 tablets; Motilium M 20 tablets; Dudecer 20 tablets; Gastropulgite 30 tablets; Rotunda 10 tablets; Phar Katal 20 tablets. Phase 3: Spasmaverin 30 tablets; Hagimox 500mg; Pannefia 40mg; Gastropulgite 20 tablets; Clarithromycin 250mg. Now it's time for a follow-up examination and the doctor told me to take a break for 2 weeks and then go to the blood test, but I heard that the blood test did not detect all HP+ thoroughly. So the doctor asked me if I want to check my HP again after treatment, can I use a blood test? Should I look for another clinic? Or continue to maintain if the drug is added again as above? I thank you doctor.
Dung (1999)
Answer
Answered by Master, Doctor Vu Tan Phuc - Department of Medical Examination & Internal Medicine, Vinmec Phu Quoc International General Hospital.
Hello,
With the question "Can I use a blood test to check my HP after treatment? ", the doctor would like to answer as follows:
You should find another facility to re-test because you want to check HP again after treatment, you cannot use a blood test to check because if you do, the results will be is also positive (because this is an antibody test, it only indicates that they have been infected before but are still infected, it is not known). Before the test, you must stop taking antibiotics for at least 4 weeks, PPIs (acid secretion inhibitors) for 2 weeks.
Your treatment regimen as described is not good. Therefore, you should visit another facility and remember to bring the prescription of this facility for your doctor's reference.
If you still have questions about re-checking HP after treatment, 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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