HomeAnswersMedical Gastroenterologyhelicobacter pylori

As I took the wrong dosage for H. pylori infection, bacteria are now resistant. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have hair loss, which is not growing, fainting, low energy, and stomachache. I have been diagnosed with H.pylori and gastritis. My doctor gave me capsule Pylera three tablets per meal and Omeprazole one tablet. After I finished the treatment, I discovered that I took the wrong dosage of one pill per meal. Now the bacteria is resistant to capsule Pylera. What antibiotics should I take as second-line treatment?

Thank you.
Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

Well, you already have taken a very effective dose of capsule Pylera (Bismuth subcitrate potassium, Metronidazole, and Tetracycline hydrochloride). Every bug in another human responds differently. I suggest you test for the H.pylori stool antigen, confirm whether it is still present, and then consider starting a second course of treatment. How many days has it been since you finished the course?

If you just completed the dose today or yesterday, I suggest you complete the course of Pylera with omeprazole (proton pump inhibitor) for another 10 days and this total time dose as prescribed earlier. The bug probably has responded to the earlier doses as well. If you have finished the course well before a week or two weeks, then wait to complete at least four weeks, and then test for H pylori stool antigen. If it is present after that, we can consider further treatment.

Otherwise, if you want to take another course without testing it, then I suggest you with:

  • Capsule Amoxicillin 1 gm twice daily for 10 days.
  • Tablet Clarithromycin 500 mg twice daily for 10 days.
  • Capsule Omeprazole 40 mg once daily for 10 days.
Medically reviewed by Dr. Sneha Kannan
Published At September 7, 2020
Reviewed At August 23, 2023

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

I have stomach pain below the breast on the left side. Please help.

Are H.pylori infection and stomach cancer interrelated?

Getting stomach pain and cramps during masturbation. Is that normal?

I tried to pop a pimple on my thigh and it turned into a large sore. Please help.

How can I cure acne scars with redness on cheeks?

H. Pylori Infection - Causes, Symptoms, Diagnosis, Treatment, and Prevention

Comprehensive Second Opinion

Read answers about:

helicobacter pyloriantibiotic resistance

Ask your health query to a doctor online

Medical Gastroenterology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.