Case - 150916 - Resistant to treat H.Pylori - what to do?Created by:
A middle aged gentleman, with background history of hypertension, heavy smoker, increased body mass index, depression, was initially referred by his General practitioner for a gastroscopy due to on-going symptoms of epigastric burning pain, reflux, with some element of vague dysphagia, and reduced in appetite. Gastrosocpy was done with showed moderate gastritis and moderate duodenitis, and Clo-test was postive for Helicobacter Pylori infection. Patient was given a course of triple therapy for H.Pylori eradication. An urea breath test was done 4 weeks after the triple therapy, was positive. Patient was given a quadruple therapy for eradication for H.pylori infection for the second time. Again, 4 weeks after, patient was tested positive with urea breath test and no symptomatic improvement. What will be your next step in his management ??