Question 1

I'm really confused about my H. pylori infection results. I've been dealing with gastritis for about three months now. After finishing two rounds of antibiotics, the first test still showed a positive result for H. pylori. I just had an endoscopy and the RUT test came back positive too. But then, on the other hand, the histopathology report from six biopsy samples says there's no H. pylori colonization. Which one should I trust?

Accepted Answer

It seems there is a discrepancy between the RUT (rapid urease test) and the biopsy results. The RUT is positive, suggesting H. pylori presence, while the biopsy shows no colonization. In such cases, the biopsy results are generally considered more accurate as it involves a deeper tissue sample. It would be advisable to consult your doctor for further evaluation, as other factors could influence these results.

Question 2

I'm a bit confused because the pharmacy gave me Sucrafil solution instead of the Sucrafil O gel solution that my doctor prescribed. Are they the same thing? Can I use the Sucrafil solution, or do I need to get the exact one my doctor mentioned? Just to give you a bit more context, here's what my prescription looks like: Rablet 20 mg before breakfast, Ganaton OD after breakfast, Rantac 150 after dinner, and the Sucrafil O gel solution before breakfast and dinner. Would love your advice on what to do next.

Accepted Answer

Excessive saliva while talking can be embarrassing.

Possible causes:

- Overproduction of saliva
- Poor oral motor control
- Nerve damage or neurological disorders
- Medication side effects
- Anxiety or stress

To manage:

- Practice good oral hygiene
- Chew sugar-free gum to stimulate swallowing
- Avoid caffeine and spicy foods
- Try relaxation techniques like deep breathing
- Consult a doctor or dentist to rule out underlying conditions

Question 3

My endoscopy impression LAX LES. Narrowing noted at D1 D2 junction. Scope could not be passed beyond. BC taken. Doctor suggested bypass surgery.

Accepted Answer

The endoscopic finding of a narrowed area at the D1-D2 junction (duodenal junction) and the inability to pass the scope beyond this point suggest a potential blockage in the duodenum. The doctor's recommendation of bypass surgery likely refers to a surgical procedure to create a new pathway for food and fluids to bypass the obstruction, potentially a duodenojejunal bypass. This could be necessary to relieve symptoms like nausea, vomiting, or abdominal pain caused by the blockage

I'm a bit concerned about my bilirubin levels. My recent test results show my total bilirubin serum at 0.80 and direct bilirubin serum at 0.28. Is this within normal range or should I be worried? Would love some guidance.

See a specialist for accurate diagnosis and targeted treatment.

More Gastroenterology/GI medicine Health Queries

My endoscopy impression LAX LES. Narrowing noted at D1 D2 junction. Scope could not be passed beyond. BC taken. Doctor suggested bypass surgery.

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