Gastric ulcer with HP infection what to do?

Question
Hello doctor,
At the beginning of August, I went to the doctor, endoscopy had a stomach ulcer with HP infection. The hospital gave me the medicine for 15 days, but I only took it for 10 or 11 days, then it was lost (because of the epidemic and blockade while I was collecting things at my mother's house, I lost it). But I also find that my stomach is better, but sometimes I still have less acid reflux. More and more heartburn reflux. At the beginning of September, I had a sore throat, choking on my throat, but because of the redness in the area, I couldn't go to the doctor. At the end of September, the blockade was lifted, so I went to the doctor and I had a throat endoscopy and I had mild tonsillitis and esophagitis (the doctor said that due to a lot of reflux, esophagitis caused choking). Then the doctor gave the medicine to drink. But after taking all the medicine, I still had gastric reflux and mild throat choking. Please tell me if I have a stomach ulcer with HP infection, what should I do? Should I take the old prescription to buy medicine to take all the HP and reflux? I currently have mild stomach pain and a lot of reflux, is it possible that the HP is still there? What if I still have HP? And how long apart should antibiotics kill HP to be taken again? I sincerely thank the doctor.
Nguyen Hoang Chien (1985)
Answer
Answered by Specialist Doctor I Dong Xuan Ha - Gastroenterologist - Department of Medical Examination & Internal Medicine - Vinmec Ha Long International Hospital.
Hello,
With the question "What to do with stomach ulcers with HP infection?" , the doctor would like to answer as follows:
Through what you said, I currently have two problems, the first is H.Pylori gastric ulcer - Positive, the second is gastroesophageal reflux. However, these two problems are closely related, if you do not treat all H.Pylori, you will not be able to completely treat reflux, but you may have treated all H.Pylori and you still You may have gastroesophageal reflux disease and then your doctor will have to prescribe medication to continue treating the reflux.
On the other hand, the current rate of resistance to H.Pylori is very high, the fact that you have not completed the treatment course may also make H.Pylori not completely eradicated, so the next steps of treatment cannot be completely eradicated. .
What you need to do now is go to the hospital for a re-examination, you should do an endoscopy to see how the ulcer is treated, repeat the H.Pylori test if it is still positive, then you have to take medicine again. kill it, of course I will use a different regimen than the last one, so you need to give your doctor information about the prescription first.
Test for H.Pylori after treatment must be at least 01 month from the nearest antibiotic dose to give accurate results, and if the test is positive, I can continue taking the drug immediately.
You should go back to the doctor soon, if you still have H.Pylori, try to take the full dose because taking the insufficient dose leads to more serious H.Pylori drug resistance, which is difficult to treat later.
If you still have questions about stomach ulcers, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!