First time H Pylori Treatment, Need Some Advice!

Hi All,

Just got breath test diagnosed with H Pylori at a local urgent care facility.

The docs there prescribed me the standard "triple therapy", amoxacillin and clarithromycin, etc.

My gastro doc says he wants me to take Pylera, which seem to have a higher cure rate? But is it stronger I guess??

Which would you guys start out with? Are the side effects from Pylera that much worse than standard triple therapy?

Thanks!

Post Edited (ram2390) : 9/12/2014 4:01:13 PM (GMT-6)

If you haven't taking your medication yet, go for the Quadruple Therapy it is very strong and effective.

My friend, Side effect do people get but forget about side effects, concentrate getting ride of H.Pyrl and you don't need to worry about it.

Post Edited (ninjakiller1) : 9/12/2014 5:13:28 PM (GMT-6)

Hi Ram,

The Major problem for you is H.Pylori is high to be treated, if its left untreated you will get very bad symptoms as like Weight loss,
Loss of appetite, Bloating, Burping,Nausea: H.Pylori it will also interfer with your stomach Acid that will make it worse and create Acid reflux. Listen to me my friend, I was just like you, everyday I have been reasearching about antibiotics that people saying bad stuff about it that it won't work or not effective, its all lies, I nearly believed myself that taking quadruple therapy it won't work but it did, you need to believe in yourself that you can doit and don't look what other people say, each people has their own problem.

triple therapy first course treatment for Helicobacter pylori infection, if that did not worked well, you will be in the last course as quadruple therapy.

If its four times a day you have to take, than its Quadruple Therapy, very strong and effective.


You are in triple therapy first as course is: Omeprazole as PPI: and clarithromycin, amoxicillin as antibiotics.

last course is: quadruple therapy is PPI, b i s m u t h, metronidazole, tetracycline.

As Antibiotics, if you got Metronidazole and Clarithromycin or tetracycline: and (b i s m u t h) as coat a peptic ulcer and protect it from stomach acid) and PPI: Thats quadruple therapy. If you have a problem with your indigestion, ask for pepto bismol, your Doctor will prescribe it to you.

Remember Quadruple therapy its for 2 weeks, if the Doctor prescribe you for 7 days only, decline it and ask for 2 weeks. Because Quadruple therapy for 2 weeks it will kill it as 90% of all Bacterias in your stomach. But Remember Antibiotics will kill H.Pylori as bacterias but it also will kill good bacterias, so when you complete 2 weeks course, give it 3 days extra more and than start having yogurt a lot than milk, because it cointains good bacterias.


Quadruple therapy its for 2 weeks only but you need to be confident on yourself that you can doit. Vegetables won't intefer with antibtics, I know its hard but you can doit, you can also have white rice as boiled well, you can have fish as in oven not fried, Brown bread as well.

Post Edited (ninjakiller1) : 9/13/2014 2:36:41 AM (GMT-6)

Hi Ram

1. Do 14 days course.

Take your medication first and than wait for 1 hour exactly and than eat your food. What happens is when you take your medications and give 1 hour to do their job to kill H.pyrl and than eat your food.

Omeprazole is good!

Remember take Omeprazole first and than your antibiotics.

I do not want to discuss about side effects to you, if I tell you than you might get worried. But you have no choice, you must get ride those H.Pyrl by any chance, leaving like that it will make your life horrible. But remember some people don't get side effect and some people do, those side effects are temporary.

Important: When you have completed your medication course for 14 days, stop Omeprazole for 3 to 4 weeks, because you will need to do stool sample in GP to see if you have or not the H.pyrl. Sometimes Omeprazole can interfer with the results. Always good to check twice for stool sample as to be sure that h.pyrl gone.

Can I ask you, do you have to take only morning and evening only for your medication?


1. No sugar, chocolate or sweets or honey or biscuits.

2. No fry foods

3.No fizzy drinks and no juice as sugar that contains and no Orange and no lemons.

4. No yogurts or milk until you finishe your medication.


1. Brocolli is very good and it can help to kill H.Pylori with antibiotics and Fresh Garlic. Brocolli must not be boiled because it will destroy all the minerals, you can eat it as when you buy it and it taste very good.

2.Vegetables, Fish in oven and boiled chicken and white rice.

3. Drink plenty water


Listen if you need further assistant of any help problems, let me know, I will be with you for this 2 weeks if you need me. Remember to take plenty rest and walking is good in fresh air with someone to hold you, because the medication can make you weak.

Thank you again for your reply. I am 80kg, slim, 185cm tall, 24 yrs old male.

Standard triple therapy is 20mg Omezprazole, 500mg Amoxacillin, 500mg Clarithromycin, once in the morning once at night I think.

Thanks Ninja.

So I should do this:

7:30am- Omeprazole
8am- antibiotics
9am- eat breakfast

7:30pm- Omeprazole
8pm- Antibiotics
9pm- Dinner

11pm before bed- Probiotics Capsule

Is that correct?

Thank u for the help I will keep you updated on my progress!

Post Edited (ram2390) : 9/14/2014 8:54:10 PM (GMT-6)

Hi Ninja,

Just started the treatment today, we will see how it goes.

Do you think its okay to do 10 day treatment instead of 14?

My symptoms from the H Pylori were very minor (just some minor abdominal pain). I read some evidence online that suggest that 14 days treatment is not more effective than 10 day. What is your opinion?

Thanks!!

Hi Ninja,

I am on day 2 of the therapy.

Day 1 went well, no side effects.

But today, Day 2, I felt extremely tired all day and had diarrhea tonight...are these side effects normal?

If these side effects continue tomorrow I was considering trying 1000mg Amoxacillin per day instead of 2000mg...

Thanks Ninja, I am already feeling better. Day 4 now and no more side effects.

But...whenever I take a deep breath, sometimes I hear a noise that sounds like somebody pumping air into a tire coming from my lungs?? Is this normal? Have u ever heard of this? Is it the gas from my stomach/dying H pylori?

Thanks Ninja, I am on day 6 of the therapy and no side effects anymore! 4 more days to go..

Do you recommend I taper off of the Prilosec after the treatment is done? For example 1 day after treatment is done I take 20mg, then the next day 10mg, then stop, so my stomach knows its time to produce acid? Or should I just quit "cold turkey"?

Hi ram,

How are you doing, how is your condition?

Well I am really glad you have finished your treatment.

Do as well a stool sample test again, do both of them. Because when I did breath test, it came negative but when I did stool sample it came positive.

Hello Ninja,

I have just started the quad treatment after a triple therapy failed

Post Edited (QuadT) : 7/2/2017 2:55:49 PM (GMT-6)