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today, friends who care about their stomach health have all received helicobacter pylori treatment.

helicobacter pylori infection is the number one known risk factor for gastric cancer. eliminating the infection before gastric cancer occurs can effectively reduce the risk of gastric cancer and provide an additional layer of protection for your health.

but there are also many people who have not started to act because they hear many voices around them saying "helicobacter pylori cannot be cured". there are even cases where you will be defeated over and over again.

this phenomenon seems to conflict with the current consensus on helicobacter pylori in china.the eradication rate of helicobacter pylori in standard treatment regimen is at least 90%。

what exactly is the reason for the treatment failure? we will review the "six sins" of treatment failure from the lowest to the highest probability to help you avoid these pitfalls as much as possible.

some people may simply use/understand the test method incorrectly and mistake a successful treatment for a treatment failure.

there are a variety of tests that can detect helicobacter pylori, but after completing treatment, blood tests for helicobacter pylori antibodies can no longer be used.

a positive antibody test means that there is an infection or that there has been an infection in the past. even if the treatment is successful, the positive result will remain for many years.a positive antibody test after treatment cannot be considered a treatment failure。

in addition, the breath method for determining helicobacter pylori can be used for follow-up examinations after treatment, but we should also know that the numerical result of the breath method is not equal to the degree of infection. as long as it is lower than the standard value, there is no infection, and it is not required to be 0.

some people mistakenly believe that the treatment is not thorough because their results are not 0, and that repeated treatments will be futile.

*online medical consultations should provide case data with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.

overseas-purchased medicines, especially japanese stomach medicines, have a special status in the eyes of some friends.

japan's drug design is indeed excellent, and its disease diagnosis and treatment concepts are worth learning from. however, when it comes to helicobacter pylori, japan's mainstream treatment plan is not suitable for today's chinese.

japan's helicobacter pylori treatment program has not been updated for many years. it was indeed suitable for japan's situation at the time, but today it seems that even in japan it has been strongly impacted by drug-resistant bacteria, and the overall eradication rate has dropped to 80%, which is far below the level of china's mainstream program.

more importantly, there are differences between china and japan, and the plans formulated have taken into account the current mainstream drug-resistant bacteria situation.

today, japan's solution has actually been out of use in china for 10 years. the overall dosage and duration of medication cannot achieve the purpose of killing helicobacter pylori in china.so don’t spend a lot of money on japanese helicobacter pylori treatment drugs purchased overseas, and don’t risk buying fake drugs due to lack of supervision.

the recommended treatment course for helicobacter pylori in china is 2 weeks, which is a long time. some people may not strictly follow the treatment details for various reasons. the more deviations from the standard treatment, the more likely it is to fail.

in addition to the common missed doses, another thing we tend to overlook is the duration of medication use.traditional quadruple therapy for helicobacter pylori uses prazole drugs, which are recommended to be used before meals to maximize the effect of inhibiting gastric acid.if you do not pay attention to the prescription details and take the medicine after meals, it will not be easy to work and affect the bactericidal effect.

*online medical consultations should provide case data with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.

the course of mainstream quadruple therapy is 10 to 14 days. it takes at least 10 days to ensure the basic effect.

a few people may not take the full course of treatment because they don't care and don't have the concern that the antibiotics must be taken in sufficient doses and for a full course of treatment. more people are forced to terminate the treatment because of the serious adverse reactions.

adverse reactions to helicobacter pylori treatment vary in severity, with approximately 10% of people experiencing gastrointestinal discomfort that is difficult to tolerate.however, the synergistic treatment with certain probiotic preparations may reduce discomfort and ultimately allow the patient to complete the treatment.

if obvious gastrointestinal discomfort occurs during treatment, you can contact your doctor in time to obtain a prescription for probiotics.

do i need to take probiotics ahead of time?

which one is more suitable?

consult a gastroenterologist for more peace of mind

this may be the reason why treatment failure should be avoided but is difficult to avoid completely.

china's national conditions are complex, and the drug resistance of helicobacter pylori varies from place to place. in fact, the most ideal treatment plan should have local characteristics and choose adequate treatment based on local drug resistance.

however, due to the difficulty in specific implementation, the country has reached a corresponding consensus and recommended some standard antimicrobial drug combinations. in order to cope with bacterial resistance, these official recommendations are also updated with the times.

however, many doctors have not updated their knowledge, and today we can still see many cases where obsolete combinations or antibiotic dosages are clearly insufficient.

some prescriptions still use the same eliminated triple regimen, or make mistakes in the choice of the "fourth drug", not using the standard bismuth agent, but choosing other mucosal protectants of the same type as bismuth. little do they know that bismuth is unique in its ability to kill bacteria, and other mucosal protectants of the same type do not have this effect at all.

with so many wrong prescriptions, we certainly can’t expect a high treatment clearance rate…

bacterial resistance is a cause of treatment failure that we cannot avoid.

even if the treatment is completed in full compliance with the treatment principles, there are still a few helicobacter pylori that can escape treatment and survive due to their strong drug resistance. for a few stubborn ones, there are still some controversies in the follow-up treatment. including whether it is necessary to perform remedial treatment again? does remedial treatment require bacterial culture and drug sensitivity test in advance?

the most common treatment method is to continue to choose a relatively uncommon antibiotic combination for another treatment. in addition, in recent years, high-dose dual therapy (relying on a larger dose of amoxicillin, an antibiotic) has also begun to be gradually used, playing an important role in remedial treatment.

what treatment options are right for you? what should you do if the first treatment fails?

get professional treatment advice

*online medical consultations should provide case data with a clear diagnosis, such as outpatient medical records, diagnosis certificates, etc., to help doctors judge the condition more accurately.

having talked about so many cases of treatment failure, it is still necessary to emphasize that most treatments are successful in one go, and the more standardized the treatment, the easier it is to succeed.

if you haven't started treatment yet, please make a decision as soon as possible for the sake of your stomach health. i wish you a smooth and successful treatment.