Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr my name is Jerome i am 33 yrs old im 510 weight 180 I tested positive far h.pylori and my stomach have been bloated over a month an it still not getting better. This is the first time this have happen to me.can you tell me what  should I do.I am really worried.
[|AI|]  Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read your question completely, I understand your concern and will try to help you in the best way possible. Your symptoms and tests are quite conclusive, so a prompt need of an appropriate therapy becomes mandatory, however it would have been more appropriate if we had known, what sort of tests has you undergone? Like an OGD biopsy and its histopathology, Antigen detection in the stool or a urea breath test? Because each one of them carries different sensitivity and specificity.However, since history is so suggestive so, the need for eradication regimen for H. pylori is mandatory. Many regimens have been devised over the years based on different guidelines and all of them have shown to be effective. If I were your physician, I would have started you on triple regimen, including omeprazole 20 mg twice daily, amoxicillin (1 g twice daily) and azithromycin (500 mg twice daily) for 10-14 days. A 14 days therapy has been shown to have a higher eradication rate. I would also advise you to avoid taking spicy foods or irritants of stomach mucosa like alcohol, carbonated