Musa Basheer Mansour
A 42-years old man brought to the hospital with bloating and dull epigastric pain without significant characters for 13 days. Systems review, social, habit and examination revealed nothing. He had reassured, advised to avoid spicy food and given Mebeverine.
After 8 days, he came with the same complaints. Nothing significant except a positive H. pylorus in the stool. Given 14 days
{Pantoprazole 40mg/Clarithromycin 500mg} bid
Metronidazole 500mg tid
After 7 weeks H. pylori was positive. Given 14 days
{Pantoprazole 40mg/Clarithromycin 500mg/Metronidazole 500mg/Amoxicillin 1gram} bid
After 7 weeks H. pylori was positive. Given 14 days
Pantoprazole 40mg bid
{Bismuth Subsalicylate 524mg/Metronidazole 375mg/Tetracycline 500mg} qid
After 7 weeks H. pylori was positive. No facilities for endoscopy, urea breath test or Levofloxacin. Given 14 days (Pantoprazole 40mg/Clarithromycin 500mg/Amoxicillin 1gram} bid
Doxycycline 100mg daily
After 7 weeks H. pylori was negative, with no complaints or adverse effects. The patient was completely satisfied.
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