Gastritis

Question 1

Quadruple treatment for H Pylori

Answer 1

• tetracycline 500 mg every 6 hours for 14 days
• omeprazole 20 mg every 12 hours for 14 days
• metronidazole to 50 mg every 6 hours for 14 days
• bismuth subsalicylate 262 mg every 6 hours for 14 days

Question 2

GERD

Answer 2

Can present with chronic cough
- cough is due to stimulation of the distal esophagus, not chronic aspiration

cough will resolve with antireflux drug therapy.
- trial of acid suppression with PPI may be beneficial in evaluating chronic cough.
- Response to treatment may be seen within 2 weeks, but the drug should be continued for at least 6 to 8 weeks.