The top therapies are in this paragraph:
“The guideline makes 12 total treatment suggestions for patients in a variety of different situations. The number two recommendation for treatment-naïve patients—after bismuth quadruple therapy—is rifabutin triple therapy (a PPI, rifabutin and amoxicillin.) A third option consists of a new, highly potent drug called vonoprazan, combined with the antibiotic amoxicillin, that blocks stomach acid production.”
Your doctor doesn’t know this, yet, so suggest it by giving them this write up.
“ This latest clinical practice guideline notes that its prevalence in North America is decreasing, but it still infects 30-40% of the population.”
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30-40%? Damn… now my hypochondria is going to get triggered! ;-)
There is a sordid history behind what this article proffers as ‘progress’.
A solution is hardly outlined. They just dig a deeper hole and expect desperate patients to jump in.
I had H. Pylori about ten years ago. I had disrhea for years and complained to my doc many times, but he did nothing, I finally did my own research, thought my symptoms matched H.. Pylori, and told doc we should test for it. He said “That’s a good idea.” The test came back positive and he prescribed the common triple therapy at the time that had been developed by an Australian doc. It eradicated it and things got much better.
I was really mad that I had to do my own research and make recommendations to doc.