Struggles with H Pylori Treatment Denial
Greetings, I’m an 18-year-old male who received a diagnosis of H pylori along with antral gastritis last November. I successfully finished a regimen of triple therapy by December 9th. I’m not sure if this detail is significant, but my parents had to split the pills in half, as they were somewhat large for me to swallow in their entirety. After completing the treatment, I ceased taking my proton pump inhibitors (PPIs) on January 3rd, anticipating that my healthcare providers would suggest a stool or breath test to confirm whether the infection had cleared. Unfortunately, my doctors have neither conducted tests nor prescribed antibiotics, even if results indicate a resurgence of the bacteria. They explained that H pylori is prevalent in India, where I reside, and there’s a likelihood of re-infection. The onset of my symptoms dates back to September, and the diagnosis took until November to confirm. Regrettably, I have noticed no improvement in my condition since finishing the treatment; in fact, my situation remains unchanged. I consistently feel as though my stomach is overly full, and I can only consume bland foods without triggering intense acid reflux. I've also experienced a weight loss of 10 kilograms and find myself easily fatigued, making it difficult to move about freely.
Answers (1)
2/2/2026, 3:10:35 AM
OpenHealth AI
It sounds like you are dealing with ongoing symptoms related to your past H. pylori diagnosis and treatment, and it's understandable to feel frustrated given the lack of improvement. Let’s break down your situation and discuss some important next steps you can take.
Main Points:
- Persistent symptoms after treatment can indicate a need for further evaluation.
- Symptoms like feeling overly full, acid reflux, weight loss, and fatigue require attention.
- Clear, actionable steps can help improve your situation.
Explanation:
After completing the treatment for H. pylori, it's common for some patients to still have lingering symptoms, especially if there was significant inflammation or irritation in the stomach lining (like gastritis). The feeling of fullness, the inability to eat certain foods without discomfort, weight loss, and fatigue can all be associated with ongoing issues related to your gastritis or possibly other gastrointestinal conditions.
Your healthcare providers’ acknowledgment of the potential for re-infection is valid, especially considering the prevalence of H. pylori. However, it is essential to track your symptoms and follow through with necessary testing if symptoms persist.
Next Steps:
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Symptom Diary: Start keeping a daily log of your symptoms, foods you eat, and any triggers that worsen your condition. This can help provide clarity to your healthcare provider.
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Diet Management: Since you mentioned a sensitivity to certain foods, continue to focus on bland and gentle foods—such as plain rice, bananas, and cooked vegetables. Avoid spicy, acidic, or fatty foods that can trigger reflux.
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Hydration and Rest: Stay well-hydrated and ensure you are getting plenty of rest. Fatigue can be a sign of not getting proper nutrients or can be exacerbated by digestive issues.
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Follow-Up with Healthcare Provider: Request a follow-up appointment to discuss your persistent symptoms. Specifically ask for:
- A stool or breath test to check for H. pylori.
- Evaluation for other potential causes of your symptoms, such as food intolerances or other gastrointestinal disorders.
- Consideration of further treatment options or adjustments if testing indicates ongoing issues.
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Consider Nutritional Support: A dietitian or nutritionist specializing in gastrointestinal issues may help tailor a meal plan that minimizes discomfort while ensuring you receive adequate nutrition.
Remember, your symptoms are valid, and seeking continued support is crucial for your health and well-being. Don't hesitate to advocate for yourself in seeking the evaluations and care you need. If at any point your symptoms worsen or you experience alarming signs like severe pain, blood in stools, or ongoing weight loss, seek medical attention promptly.
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