- male
- 40 Years
- 29/01/2025
I've been dealing with acid reflux for the past couple of years and recently got an endoscopy that showed I have an H. pylori infection. I've been on the Nexpro HP kit but still haven't found any relief. Could you suggest what I might try next or what else might be going on?
Answered by 1 Apollo Doctors
Since you have been diagnosed with H. pylori infection and have been taking Nexpro HP kit without relief, I would recommend a different treatment approach. You can try a combination therapy with antibiotics such as Amoxicillin and Clarithromycin along with a proton pump inhibitor like Omeprazole. This combination therapy is often effective in eradicating H. pylori infection and relieving symptoms of acid reflux.
Dr. Mubarak Suggests...
Consult a Gastroenterology/gi Medicine Specialist
Answered 04/07/2025
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I'm really worried because I noticed blood in my saliva today, and I'm not even coughing. A month ago, I also saw blood after I vomited. What could this mean and what should I do?
Spitting blood in saliva without coughing or vomiting blood can be concerning. This could be due to various reasons such as gum disease, oral trauma, or gastrointestinal issues. Since you have also experienced vomiting with blood in the past, it is important to seek medical attention promptly. You may need to undergo further investigations such as endoscopy to determine the cause of the bleeding. In the meantime, you can take over-the-counter antacids like Omeprazole (Prilosec) 20mg once daily before breakfast to help reduce stomach acid and protect the stomach lining. However, it is crucial to consult a healthcare professional for a proper evaluation and management plan.
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I've been dealing with GERD for 4 years and my gastroscopy showed a 40cm hiatus hernia. I constantly feel nauseous with a lump in my throat, and my stress levels are through the roof. Would surgery actually fix my GERD issues? I'm really hesitant about getting that 24hr pH metry test it sounds like it would be awful to go through. How bad is it really?
U need a proper assessment by a surgeon,, of your symptoms clinically to establish volume reflux and Gerd.. Gastro scopy has told that you hav a hiatus Hernia.. There is no need of 24 hr pH metry if you symptoms match with your gastroscopy.. What you need is esophageal manometry... A small miniature tube... 1/10 of size of endoscopy tube... Which you already hav gone through.. That wil establish whether you require surgery called Lap fundoplication and how much you will benefit from it. normally.. Of my pts who hav underwent this surgery... Those who had volume reflux did the best from surgery.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.