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Even after getting treated for H. pylori, I have indigestion and gas. What to do?

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

Patient's Query

Hi doctor,

I was diagnosed with erosive gastritis last year. After ten days, I took PPI for H.pylori. I thought that I am completely alright. After three months, I started to have indigestion issues again. Then I started taking Famotidine for eight to nine months. Still, I have indigestion and gas issues. I am using herbal supplements and they are giving some relief. Does my gastritis is caused due to H.pylori or stress? Should I need to do another endoscopy? Do I need to follow a good diet for getting cured completely? I am taking herbal supplements like DGL licorice and slippery elm. I want to have normal digestion. I did a test for H.pylori and it showed me a negative result. Kindly help.

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.

Hi,

Welcome to icliniq.com.

Please mention when you did H.pylori (Helicobacter pylori) blood test. If you tested it last year, then you have a high possibility that your erosive gastritis did not occur secondary to H.pylori. It occurred due to other causes like biliary gastritis, and drug-induced erosions. Stress does not cause ulcers. If you have a negative result for H.pylori, then it shows that you had erosions due to H.pylori and you have treated it successfully. At this moment, your symptoms seem to occur secondary to excessive gases and it is not due to recurrence of H.pylori infection and erosive gastritis. It is common to have gas and bloating after taking an antibiotic course. I suggest you do a test for H.pylori through stool antigen testing. For now, start taking tablet Ondansetron 8 mg (antiemetic) thrice daily half an hour before meals. Stop taking licorice as it is not good for the digestive system.

The Probable causes

You seem to have a recurrence of H pylori (Helicobacter pylori) infection, functional dyspepsia, post prandial distress syndrome, or dysbiosis.

Investigations to be done

You need to do tests for H.pylori through stool antigen testing.

Regarding follow up

Have a follow-up at any time.
Medically reviewed by Dr. Sneha Kannan
Published At June 24, 2020
Reviewed At August 13, 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.

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.

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

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.

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