H.pylori infection and dyspepsia
Q: I have been suffering from indigestion for past two months with symptoms of gas, bloating and a feeling of fullness. I consulted a gastroenterologist who suggested endoscopy but I have not got it done. The symptoms were more prominent in the evening and used to subside on their own or after meals. My doctor later said that the symptoms indicated a possible H.pylori infection for which he suggested the following medications:
Ornidazole 500mg - mornings and evenings
Pantoprazole 1 tablet in morning
Domperidone 1 tablet at night
Uniemzyme after meals for 1 month (all medications for 1 month except ornidazole for 5 days).
I have just finished the 5 day course and felt relief after the first day of ornidazole but from yeterday the symptoms seem to be recurring a bit. I am not feeling very hungry and appetite is low. I want to know if this medication is correct? Also if this medication will eradicate the H.pylori infection?. Also should I stop consuming alcoholic beverages?
A:Your symptoms are suggestive of dyspepsia. There are several causes of dyspepsia including peptic ulcer disease. Since you have had this problem for less than 2 months, I suggest you take an H2 blocker like ranitidine 150 mg twice a day for 4 weeks. If your symptoms do not subside or you notice further weight loss, I suggest you should see a gastroenterologist. Alcohol in moderate amounts (not to exceed 1-2 drinks a day) is generally considered safe.