H Pylori

Question 1

What are the symptoms of HPylori

Answer 1

Burning in the tummy

Question 2

What tests are used to diagnose H pylori

Answer 2

Urea 13c, SAT or blood test

Question 3

If someone is allergic to penicillin, what is the treatment for them

Answer 3

PPI + Clarithromycin + Metronidazole (PCM)

If already tried clarithromycin before: PPI + Bismuth + Metronidazole + tetracycline (PBMT)

2nd line: PPI + metronidazole + Levofloxin (PML)

Question 4

Is someone CAN take penicillin, what is the treatment for them?

Answer 4

PPI + Amoxicillin + Metronidazole or Clarithromycin (PAC/PAM)

OR

PPI + Amoxicillin + tetracycline (if previously treated with met or clar) (PAT)

Question 5

When should the breath test not be be performed?

Answer 5

Within 4 weeks of abx treatment or within 2 weeks of treatment with PPI