s*****e
发帖数: 56 | 1 hey,,she was asking about Salmonella, not h,pylori
doctor |
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z******c
发帖数: 94 | 2 两年前左右做过一次胃镜，医生结论为undergone upper endoscopy showing a small
antral erosion, no H.pylori, ultrasound of abdomen is normal. 然后建议一天吃
2颗protonix，被拒。现在每天吃一颗protonix,还是时常感觉上腹部烧痛，所以想找一
个好一些的医生确诊一下到底只是GERD还是有其他胃毛病，希望大家推荐良医。 |
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f******I
发帖数: 769 | 3
assume that your GI doctor did check clo test during your EGD and that you
don't have h pylori infection, then maybe go check a fasting serum gastrin
level, |
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m****a
发帖数: 98 | 4 if the diagnosis of peptic ulcer is made and h pylori is found, the standard
first-line therapy is a one week triple therapy consisting of the
antibiotics amoxicillin and clarithromycin, and a proton pump inhibitor such
as omeprazole. |
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t*******n
发帖数: 4445 | 5 If you are relatively young and H. pylori free, cancer is unlikely
But the only way to make sure is through endoscopy |
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x*******2
发帖数: 24 | 6 当然要看医生。
不过我可以告诉你，那个硬块不是什么实质的硬块，而是胃上部和食道下部在涨气的时
候稍微膨大了一些。
我当初就这么过来的。
至于你吃药杀H. pylori，如果是医生确诊了的，当然是好事。现在肋下疼一下也不要
紧。 |
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s*******y
发帖数: 1739 | 7 cbc指血常规检查,看你有无炎症和贫血.
螺旋菌:Helicobacter pylori,全名叫着个:幽门螺旋菌 |
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O*******d
发帖数: 20343 | 8 有胃病的先检查幽门螺旋杆菌感染。 英文是H. pylori. 中国人80％的人都有感染。治
疗也很容易。三联药两个星期彻底根治。 幽门螺旋杆菌的研究者因为发现此菌和胃病
的关系而获得诺贝尔奖。 |
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g***r
发帖数: 285 | 9
not necessarily,
you can have urea breath test, or blood test for h pylori igG serology(if
you've never been tested and treated before),
or you could have stool antigen test, |
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g*****j
发帖数: 1211 | 10 chronic H.Pylori infection can lead to other consequences, such as
atrophic gastritis, lymphoma etc. Depending on your age and
presentation, biopsy can be used to rule out those possibilities as well
as seeing the bugs directly. |
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b*******d
发帖数: 192 | 11 you better do an exam, maybe H.Pylori |
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c********e
发帖数: 496 | 12 if you are young and have no constitutional symptoms like weight loss. You
don't have to worry about malignancy.
There is strict indications for upper endoscopy,
If ulcer or inflammation is confirmed by clinical manifestation, barium
swallow, or whatever. What you need to care is H.pylori, a bacteria, well
known culprit of ulcer and gastritis. Simply a stool test and blood test,
and it is curable, two or three antibiotics for a short term. |
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c********e
发帖数: 496 | 13 since I don't know the details of your symptoms and physicals, while you can
simply let us know why you want an upper endoscopy? did the doc tell you
the reason?
blood test can only tell you if you have ever been exposed to H.pylori,
stool test or C14 respiratory test may tell you if there is living bacteria
in your stomach.
antibiotics is not a big deal, just amoxicillin and metronidazol, commonly
used, 2-4 weeks. there are many options and combinations, sometimes plus
bismuth. |
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G***p
发帖数: 59 | 14 如果过去一年没有发生过胃病
H.Pylori抗体阳性是不是可以认为是这次感染了？
Should
family |
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c********e
发帖数: 496 | 15 either common bacteria infection , or immuno disease like crhon's or
ulcerative colitis or simply colon/rectum polyps, or from the antibiotics
you are taking.
by the way, why are you taking amoxicillin for stomach disease, for H.pylori
? if so, you need at least two antibiotics combination. |
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c********e
发帖数: 496 | 16 should be H.pylori.
幽门螺杆菌 |
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y***o
发帖数: 416 | 17 既然已经证实幽门杆菌是胃癌，胃炎等发病原因。国内胃癌发病率这么高，为何不普及
治疗幽门杆菌。 |
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g*******2
发帖数: 3306 | 18 这个菌在家庭里能传染，所以如果要治疗，要全家一起治疗。这个难度还是很大的，而
且不是每个家庭都意识到了这一点，很多人没有这个知识，觉得是浪费钱。还有，乙肝
在中国有10%的发病率，但是也没有办法每个人都打疫苗，因为疫苗也不便宜啊。 |
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g**f
发帖数: 99 | 19 郁闷，本来胃胀气好些了，可是今天又回来了，去看医生，感觉他是庸医啊，又叫我吃
一个疗程的药，不好再查h pylori，晕，还把胃子不好怪罪到我的轻度的IBS。。。呜
呜。。 |
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g*2
发帖数: 658 | 20 有没有查大便里的H.pylori抗原，看有没有根治？
还可以试试吃含probiotics的Yakult，yugurt,kefir |
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l*****e
发帖数: 594 | 21 我在国内念书的时候经常胃疼，主要是必须按着食堂的时间来吃饭，不爽。出过后自己
想啥时候吃就啥时候吃，而且觉得压力也没那么大了，胃疼就好了。胃病跟精神压力有
很大关系，心情低沉的时候容易犯病。
。。。2周前去做胃镜，说胃炎和幽门发炎，医生怀疑h pylori感染。。吃了一周抗生
素，吃药期间从来没有感觉这么爽，虽然打屁较多，但是胃感觉通了一样，饭后3-4小
时终于有饿的感觉了，狂喜了一周。。。抗生素停了后，症状又回来了。。胀气不消化
。。。。同时医生给了1个半与ppi。。感觉没有作用。。。要崩溃了，医生要等到下个
月才给我appointment再检查。。。。我以前经常健身的。。一年多胃被折磨，基本上
受了8kg。。。体型也没有了。。。很想尽快只好胃病: 梢曰厝ソ∩怼！？薨 ！ |
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d****n
发帖数: 525 | 22 幽门杆菌吃三种药，配合一起，连吃14天才行。我吃完整个疗程，胃痛就好了
。。。2周前去做胃镜，说胃炎和幽门发炎，医生怀疑h pylori感染。。吃了一周抗生
素，吃药期间从来没有感觉这么爽，虽然打屁较多，但是胃感觉通了一样，饭后3-4小
时终于有饿的感觉了，狂喜了一周。。。抗生素停了后，症状又回来了。。胀气不消化
。。。。同时医生给了1个半与ppi。。感觉没有作用。。。要崩溃了，医生要等到下个
月才给我appointment再检查。。。。我以前经常健身的。。一年多胃被折磨，基本上
受了8kg。。。体型也没有了。。。很想尽快只好胃病: 梢曰厝ソ∩怼！？薨 ！ |
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g**f
发帖数: 99 | 23 Nexium 还没有吃完，但是感觉胀气又回来了。。尤其是晚上。。早上和中午正常的不
能再正常。。。
不知道是不是h pylori没有杀干净。。。19号回去复查。。
这段时间吃kefir感觉还不错。。但是胀气还是解决不了。。 |
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b*******s
发帖数: 155 | 24 我也有这个菌，国内就查出来。现在又去美国医院吹气了。
h pylori到底治得好么？ |
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g*****j
发帖数: 1211 | 25 Although it can have many different causes just based this simple
description, vague abdominal pain several hours after meal is often
associated with peptic ulcer disease, a treatable condition. For people
from China, H. pylori infection is often the culprit.
There is no guarantee that doctor can fix your problem, but you will be
surprised that many vague abdominal pain are actually treatable. |
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g*****j
发帖数: 1211 | 26 If you never had test for H.pylori, you should consider have it tested,
because it is extremely common in people from China. It is highly treatable
, and decreases the risk of stomach cancer.
You can try antacids from local pharmacy. The strength of such medication
goes as tum < Famotidine < Omeprazole
Antacids are the treatment for GERD (gastroesophageal reflux), a very common
problem. These medicine are fairly safe and that's why they are sold over
the counter now.
But there can still be |
|
R******d
发帖数: 1436 | 27 多谢。
查了一个HELICOBACTER PYLORI ANTIBODY EIA。不过不是胃镜，是抽血。
正常范围0.00-0.99，我的是0.9。应该算正常吧。 |
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x********5
发帖数: 91 | 28 三个月前血检还是低,禁不住医生的劝说作了胃镜,好像没有发现溃疡,有点errosion,
活检一周后查出有H-pylori (幽门螺杆菌)感染,叫我服两周的抗生素杀菌,顺带服用铁
片. 自己网上查了下好像得这个感染的人很多呀40-60%,不知道是不是导致贫血得根源,
而且对于消灭这个菌是好是坏也不一,犹豫有没有必要杀菌要不要吃抗生素呢.有知道的
么? 多谢了
这是网上抄来的
"而，到底幽门螺杆菌对人体是有益还是有害，近年引起了争议。随着医学及卫生的长
足发展，加上抗生素的广泛使用，令这种菌在已发展国家的人口中正在减退；与此同时
，医生发现虽然消灭了幽门螺杆菌令胃溃疡及胃癌的个案不断减少，但食道癌及各种与
食道及胃酸倒流相关的疾病却不断增加。这很可能跟幽门螺杆菌的下降有关"
the |
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l**x
发帖数: 296 | 29 H. Pylori 是一种细菌。很多人都携带，有的人有症状，有的人没有。
回国感染这个的几率比在美国大。
一般的抗生素治疗可以根除。
不清楚为啥喝酸奶会加重症状。 |
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g*****j
发帖数: 1211 | 30 Has he been tested for H. pylori? It is the most common cause for duodenal
ulcer. |
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g*****j
发帖数: 1211 | 31 吃过饭后肚子就胀
It could be many things, and some of which can be treated. For Chinese, H.
pylori infection in the stomach is very common, and give you such symptom.
You should have it checked at your PCP's office.
屁特多
This is usually not a big problem. It usually has to do with what you eat.
Food rich in sugar tend to give more gas, including rice, bread etc.
吃冷食, 几个月前好象是吃坏过肚子
These have nothing to do with what you are experiencing now.
Good luck |
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y*****g
发帖数: 193 | 32 If you have chronic GERD, take Ranitidine or Omeprazole routinely to ease
day and nocturnal acid reflex.
if you only have occasionally acute heartburn, take antacids like tums,
maalox.
You might need check with your primary doctor to see the reason causing your
heartburn. H.pylori or NSAIDS usage are two major reasons for people to
have peptic acid disease. |
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g*****j
发帖数: 1211 | 33 You are being treated for H.pylori infection. It is probably causing some
ulceration, which can be immediately seen during endoscopy.
The medicine makes you lose memory of the procedure. But this effect is
very short-lived. |
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l**x
发帖数: 296 | 34 This is only the impression from the procedure.
The pathology report should be out soon. Then you'll know more information
about your disease, eg. if H. pylori is identified or not. |
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g**f
发帖数: 99 | 35 那医生在确诊h pylori之前就给我抗生素是不是正确的行为呢？
This is only the impression from the procedure.The pathology report should
be out soon. ........
★ Sent from iPhone App: iReader Mitbbs 6.81 - iPhone Lite |
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c**s
发帖数: 771 | 36 Have you had any test on H. Pylori? |
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s********n
发帖数: 31 | 37 I was found to have H.Pylori twice, after which I received triple-therapy to
kill that bacteria.
You remind me to have another check with that bacteria. Thanks. I plan to do
that. |
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w***n
发帖数: 1162 | 38 烂医生，只需要吹口气就可以测H. Pylori了
胃镜是做确诊，排除其他可疑情况，看看溃疡和发炎程度 |
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t*******n
发帖数: 4445 | 39 In such a case there is an elevated risk (2-10x). How that came about is
poorly understood (genes? diet? infection?). However the overall
probability for stomach cancer under 50 is low.
* Quit smoking and excess drinking, if applicable
* Medical follow-up for gastritis and stomach polyps
* If the person has no stomach problem to date,
* Possibly useful tests include h pylori check, barium contrast x-ray and
endoscopy. Only the last one is definitive but is invasive (therefore a bit
risky and ... 阅读全帖 |
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a****f
发帖数: 944 | 40 Hi,
the symptoms 2-3 are very similar to my problems a couple years ago. I went
to see the doctor and got some prescriptions, and the doctor said I did not
need to do an endoscopy immediately, until if the medicines didn't help. But
the medicines turned out to be helping a lot so I never did the endoscopy.
Now my stomach almost does not have any problem.
and |
|
a****f
发帖数: 944 | 41 Sorry I do not remember the names at all. The doctor gave me two
prescriptions, one for everyday intake and the other for emergency pain. |
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V**D
发帖数: 2869 | 42 关于肠胃毛病，没有什么专门的保健品。关键要注意饮食，作息要有规律，，多锻炼，
释放压力，保持心情舒畅。改善肠胃功能，是个持久战。
可以去做个血液检查，查一下H-Pylori,如果阳性则要吃药，这样防止胃癌发生。 |
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c**s
发帖数: 771 | 43 我以前也是基本上这样的。但是程度要轻一些。
我的主要问题是止痛药引起的，外加饮食不当。
当然，许多疾病的症状是类似的，但是病因是可以不相同的。不然，我们就不需要医生
了。
我的诊断是“食管反流”，并且连续吃了几个月的处方药。有缓解，以为有用，但实际
上没用。
我感觉到保护胃粘膜应该是我要采取的办法。我从中国买了一些“硫糖钠铝”（实际上
在胃内的活性成分是氢氧化铝），每当有胃部不适的苗头时嚼几片，我知道这个是治表
的，但我身上管用。我现在的胃还好，现在家里什么药都不备了。当然，我现在仍然不
喝咖啡，茶，不吃辣的，冰冻的，基本不吃苹果和葡萄（熟透的没事，但是商店里买的
许多不够熟）。
BTW，你有检查过 H. pylori 吗？ 据说中国人中差不多有一半有这个细菌，我家里有
胃病的除了我，曾经都有这个细菌感染。抗菌治疗后都治愈了胃病。 |
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s****i
发帖数: 197 | 44 H pylori已经查过很多次了 都是Negative 我被诊断是ibs 现在进本上是忌口 啥都不
能吃不能喝 略有缓解 医生说疼痛可能是由气体引起的 因为我打嗝/gas明显比普通人
多太多了 医生也不知道为什么 也不是反酸 现在养了大约几个月了吧 比以前稍强 真
是再往下除了忌口就不知道该怎办了 所以才来这里求教各位大虾看能不能在这边找到
靠谱的中医调养 |
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l*h
发帖数: 4124 | 45 it doesn't matter if you do it now or later from a standpoint of care. for
most of the current regimens, about 20-30% patients will have positive h.
pylori at six months after the initial "cure." |
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l*h
发帖数: 4124 | 46 treatment for H. Pylori is very standard. don't expect any magic. the
infection rate in China is very high because of the bad habit (sharing food,
serving utensils etc.) you will get it again easily if you continue with
these habits. |
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O*******d
发帖数: 20343 | 47 三联药，标准疗法。 google "H. pylori treatment" |
|
l*h
发帖数: 4124 | 48 抽血: detect antibody. less false negative, more false positive. if you have
not undergone h. pylori treatment in ~ 1 year, false positive is still very
low.
呼吸: urea breath test. more false negative, less false positive. |
|
l*h
发帖数: 4124 | 49 biopsy: most reliable, essentially no false positive, still some false
negative. on the other hand, i would not say it's the best method. suspicion
of H. Pylori infection in and by itself is not sufficiently an indication
for endoscopic biopsy.
there are high virulence and low virulence strains. about 2/3 of infections
are by high virulence strains or a mix of high and low virulence strains. it
is not a routine to test for this. low virulence strains still cause some
pathological changes.
stool ... 阅读全帖 |
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V**D
发帖数: 2869 | 50 如果去年做过胃镜，那么没必要再做。
如果没做过H-Pylori(幽门杆菌）检查，倒是可以做个血液检查，专门查一下这个项目
。应该不会很贵。
胃病要靠养，作息，精神，饮食，锻炼都要注意。 |
|
