Treatment of Gastroduodenal Ulcer: Helicobacter pylori and Aspirin
Does Helicobacter pylori may be resistant to treatment?
Yes, but it is rare that resists treatment. Generally, the assessment is not recommended after treatment to see if the bacteria has been eliminated, because:
- You might not notice if the bacteria is removed and the doctor may not be detected by blood test.
- Check it certainly would require a new gastroscopy with biopsy or a “breath test”, which is another test that can be performed to verify the presence of Helicobacter pylori in the stomach of patients with peptic ulcer.
Is there a cure ulcer after a week of treatment?
One week of treatment is long enough, in many cases, completely eliminate the bacteria from the ulcer.
In some cases the injury is not completely healed, being necessary to continue several more weeks with a treatment that inhibits the acid.Should i monitor the treatment of ulcer?
If the ulcer is in the stomach, there is a small chance that it is a cancer, so it is necessary to perform another endoscopy after four to six weeks of treatment. Then be confirmed if the ulcer has healed normally, which would not happen if it were a stomach tumor. You need to be well assured by microscopic study of tissue samples taken by stomach repeated biopsies of the area.
If duodenal ulcer is not necessary to monitor healing. Only be considered a new study if the symptoms reappear.
How are ulcers caused by aspirin or NSAIDs?
- First, you need to stop taking these medications.
- Your doctor finds the patient must continue with NSAIDs, in special circumstances.
- If the Helicobacter pylori is present, the infection must be treated as indicated.
If no infection by Helicobacter pylori, the ulcer is treated with:
- H2 antagonists (H2 blockers), 1 tablet daily for four to eight weeks.
- A pump inhibitor acid, such as omeprazole, one capsule daily for four to six weeks.
Stomach ulcers are reviewed repeat gastroscopy after six weeks of treatment.
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