I Had Heard That Prolong Acidity May Lead To Ulcer Or In Worse Cases Cancer. Are There Any Other Tests Than Endoscopy Or Sonography To Detect Ulcer Or Cancer?

Brief Answer:
H. Pylori eradication is essential. Take H P Kit for 21 days.

Detailed Answer:
Dear,
I have read your description carefully and have consulted our previous discussion.

Throat irritation is quite common in GERD/H. Pylori infection. But, sudden and severe sore throat with phlegm indicates a bacterial infection and should be treated appropriately after examining the throat carefully. A course of Azithromycin for 5 days should be sufficient.

No need to take both Pan and Zosa. Kindly change Zosa to Sompraz-D. A prokinetic drug such as Domperidone is also very much required in patients with GERD. Zosa does not contain domperidone, Sompraz-D is a trustworthy brand that I have very good experience with, hence I suggest this over any other brand.

Endoscopy is the ultimate test for any cancer of the throat or stomach.

You are correct in saying that long standing gastritis does increase the chances of cancers, but for cancerous changes to occur, it takes many years.

Since this is going on for more than 2 months now, I would consider it as chronic gastritis.

I am sorry to inform you that I do not see any reports attached with this query.

I have seen the previous reports again, and the doctors note does not indicate a proper H. Pylori eradication treatment.

If I was treating your husband, I would put him on H. Pylori eradication regimen.

You can get a combo pack of medicines specifically for H. Pylori infection, you can ask your family doctor to prescribe the same (H.P Kit). This needs to be taken for a minimum of 21 days without missing a single day.

Apart from that, I will suggest the following...

1. Continue Capsule. Sompraz-D twice a day before food for 2 months.
2. Drink plenty of water everyday (3 to 4 liters).
3. Regularise food intake, (Should take food at the same times everyday)
4. Take Syrup. Mucaine Gel 10 ml thrice a day before food for 1 month.
5. Stop alcohol, coffee and tea completely.
6. Avoid spicy and fried foods.
7. Do not lie down immediately after food.

Please follow these recommendations and ask your family doctor to prescribe these medicines for H. Pylori eradication once the throat infection gets better.

Please do not hesitate to write back to me if you need any further clarification or if you feel I have not addressed any part of your question.

I hope this information will be useful.
Thanks.
Warm regards.

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Brief Answer:
Better to go for a second line H. Pylori eradication regimen.

Detailed Answer:
Hello Dear,
If the throat infection is of recent origin, (that is, if the throat infection started just a few days ago, then it is most likely a separate problem).

In your husbands case, I would be a little bit careful in treating the H. Pylori infection.

Since he has already been treated with one course of H. Pylori eradication regimen, the second time the same antibiotics can not be used. We need to at least change one antibiotic.

You need a prescription for all these medicines, please ask your doctor for a prescription.

This is second line H. Pylori regimen, and has shown very good eradication rates.

I can not be sure about his throat infection right now, but I think it is good to complete the course of Erythromycin since he has started it.

I Hope this clears your doubts

Please do write back if you have any doubts.

Warm regards

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Brief Answer:
There is no need to repeat endoscopy, no growth no ulcer in endoscopy.

Detailed Answer:
Dear XXXXXXX

Please do not worry, things will improve soon.

Yes, I suggested H. Pylori eradication kit for 21 days. Multiple studies have shown that 14 days or more is required for achieving more than 85% cure for H. Pylori infection with the first regimen (such as Nexpro HP Kit).

I give first line regimen for 21 days as I have seen better response with that regimen.

There are multiple drug regimens for treating H. Pylori infection, and I have seen far better results with the regimen I have advised you currently.

This is also used as a first line therapy, but can also be effectively used as second line therapy when the symptoms persist after a different first line therapy, (like your husband's case).

But, please stop worrying so much.

I have seen the endoscopy report as well as the images of the endoscopy, there are no growths, and there are no ulcers. There only small areas of erosion in the most lowest part of the stomach where the acid usually gets accumulated.

There will be no harm by repeating the H. Pylori eradication regimen. That is why I have suggested you to go for this modified version.

For vomiting, your husband can take tablet Emeset 4 mg thrice a day before each meal.

This is not a recurrent infection, it is more likely that it was not completely eradicated with the first course of treatment.

If you want to see best results, then you should get all your family members to take this regimen once, because H. Pylori spreads from person to person.

Since endoscopy showed evidence of gastritis, and urease test was positive, it is highly likely due to H Pylori infection only.

GERD is a result of H Pylori infection and vomiting is also because of that.

I request you to take this course of treatment, (ask your family doctor for a prescription for all the medicines), and then continue taking Tab. Sompraz-D for 2 months.

Meanwhile, proper dietary modifications and lifestyle modifications need to be implemented.

Your husband should eat 5 to 6 smaller meals daily.

Meals should be fresh and home made.

No junk food or oily, fried foods.

No carbonated drinks like sprite/coke/pepsi.

I will reassure you again that it will get better soon with this treatment.

If you continue to get so worried, then the tension will cause increased acidity in you and you will also end up with gastritis.

Do not spoil your health by worrying so much, Let us try this and see how things go.

As of now, there is no serious issue like cancer or ulcer, so relax.

I will be available for further follow-ups whenever you need my help.

Wishing your husband a speedy recovery.

Warmest regards.

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