Good specialist/hospital to treat peptic ulcer and my expericnece

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Good specialist/hospital to treat peptic ulcer and my expericnece

Postby european » 24 Apr 2012, 22:10

Had ulcer symptoms for 5 months. After a month I went to the Shin Kong Wu Ho-Su hospital in Shilin.
First they fired drugs at me for two weeks to relieve symptoms as the first doctor thought it was indigestion.
I didn't take them.
Second time more drugs and another Dr. said maybe an endoscopy should be planned if symptoms don't go away.
Drugs were administered for two weeks. Side effects from one set of them was potential ticks in your face for life. So I didn't take them.
He said it was probably an ulcer.

I had been reading up a lot on ulcers during this time and knew that most are caused by H.Pylori and the rest are caused by overuse of NSAIDS.

So off I went to the Mackay hospital. The doctor said it was probably an ulcer. An endoscopy was planned as well as an MRI on the liver and gall bladder.

They found two small ulcers. Liver and gall bladder seemed normal.
Drugs were administered for two months and they said I should also do some blood tests.
Now, during the consultation for the blood tests - a test for h.pylori was not mentioned by the doctor. I asked about it and he said, "oh you want a test for H.Pylori?" I was a little surprised.
Anyway, drugs - Rabeprazole was administered for two months - follow up with doctor and then 3rd month would be administered.
So after 5.5 weeks taking the drugs - they worked. Then the symptoms returned.
The doctor was a little surprised. I had had the blood test the week before and the doctor said H.Pylori was negative. I was surprised at that. The other blood tests results like cholesterol and triglycerides were normal.

So he gave me some new medicine for the ulcer - Lansoprazole (Takepron) - 28 days.
Now after 5 days I still have the symptoms.

Today I read that there is a very small amount of people who get ulcers without H.Pylori or overuse of NSAIDS.
It is like 1.6% of sufferers. That study recommend testing again for H.pylori (due to false negatives) and if negative check and consider other more serious possibilities.

Now I also read that taking a H.pylori blood test is only good on average 67% of the time. The feces test and breath test have a much higher % success rate.
And if you are on medication (like I was for the ulcer) taking a blood test for H.pylori is pointless as it will show a false negative. Two weeks at least with no medication is the recommendation for testing H.Pylori.
Why didn't the Dr. know all this?

I saw some old posts with users who have had ulcers and they were cured.
So does anyone know a good Dr./hospital they can recommend to get me out of this mess?

Cheers.
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Re: Good specialist/hospital to treat peptic ulcer and my expericnece

Postby finley » 24 Apr 2012, 22:13

I was under the impression that, because H.Pylori is the most likely cause, they just blitz you with a (fairly complex) protocol involving antibiotics and dietary changes. It's not just a matter of "take this pill".

Bear in mind (1) the standard procedure in Taiwan is to just use the cheapest possible treatment that will make the patient go away. They don't factor in the possibility that he may keep coming back every time something doesn't work;
and (2) some doctors still don't believe that H.Pylori causes ulcers. You can understand their scepticism given that plenty of people carry it with no symptoms, but eradicating it DOES often seem to have the desired effect.

Go to Europe. They probably have more experience with it. It'll be worth the air fare.
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Re: Good specialist/hospital to treat peptic ulcer and my expericnece

Postby Belgian Pie » 24 Apr 2012, 22:18

You could try the Cheng Hsin General in Beitou/Tianmou, they have a gastrointestinal department.
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Re: Good specialist/hospital to treat peptic ulcer and my expericnece

Postby Dr Jellyfish » 29 Apr 2015, 13:44

I know this is a good few years old, but I'm wondering if the OP managed to get the peptic ulcer healed? I'm also wondering if anyone else has managed to get a breath test for H. pyorli?

I've had the symptoms of a peptic ulcer for about a month now. I went to the Guo Tai hospital when I woke in agony in the early hours of the morning - they did a blood test and found nothing - sent me home. The second time, about 2 weeks later, they did another blood test - yay! And a Iodine CT scan checking for gall stones or any other blockage or object and found nothing. They gave me pain killers and sent me home. It's nothing they told me (despite the fact that I couldn't lie down for the pain, and had to stay on my feet). I'm not the kind of person to take pain killers, but I was in agony.

The pain would come on hours after my last meals, normally in the early hours of the night and I would get a dull pain in the upper abdomen (on both sides) have bloating, get the feeling that my ribs were being pressed against, and the pain would sometimes go to the back. I did more reading and it really sounds like a peptic ulcer. I went again to Guo Tai hospital (near the top of An He Road), and went to the gastrointestinal department. I explained what had happened (my wife helped), and the doctor was an older guy. I was asking if I could have the breath test for H. pyorli, and he said that it wasn't necessarily H. pyorli, and suggested an ultrasound test and week of Mosapride 5mg (which is supposed to help digestive functions) and Ranitidine (which is supposed to help stomach ulcers heal). They already have my CT scan, so I don't know why they are doing another scan. Besides, I've read that ultrasound scans can't detect ulcers anyway. He said the only way to check for an ulcer is an endoscopy. In the UK, it seems they only give an endoscopy to patients over 50, I'm about 17 years away from being that age. I was hoping to get the breath test for the H. pyorli and if I had it, I hoped they'd give me that 1 week course of combined antibiotics that kills it off. Looking at the OP's post - that's not how things seem to work here. I will be going back to the UK for two months over summer, I don't know if it's best for me just to wait until then, and try over there?

Does anyone have any related experience, or have they had better/more modern treatment for peptic ulcers or H. pyorli problems?
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Re: Good specialist/hospital to treat peptic ulcer and my expericnece

Postby joey0825 » 29 Apr 2015, 14:47

We have been successfully treating lots of gastric ulcer(GU), duodenal ulcer (DU) or Gastroesophageal reflux disease (GERD) patients in Chinese medicine department, Tri-service general hospital. If you're not satisfied with the efficacy of modern medicine, you could come try some herbal medicine. My parents suffered from epigastric pain caused by GU years ago, after taking herbal medicine for a couple of weeks, they feel a lot better. Just an alternative choice to offer.
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Re: Good specialist/hospital to treat peptic ulcer and my expericnece

Postby Dr Jellyfish » 29 Apr 2015, 15:15

joey0825 wrote:We have been successfully treating lots of gastric ulcer(GU), duodenal ulcer (DU) or Gastroesophageal reflux disease (GERD) patients in Chinese medicine department, Tri-service general hospital. If you're not satisfied with the efficacy of modern medicine, you could come try some herbal medicine. My parents suffered from epigastric pain caused by GU years ago, after taking herbal medicine for a couple of weeks, they feel a lot better. Just an alternative choice to offer.


I just wanted to get a breath test for H. pyorli, and if it was cofirmed - then kill it off with the 1 week antibiotics course. It's supposedly a simple test that's 99% effective, and the drugs kill the bug, end of story. The problem isn't with modern medicine, it's that the medicine or the doctor wasn't modern (or willing) enough. He wouldn't really listen to what I was saying. And didn't seem convinced that there could be a connection between H. pyorli and duodenal ulcers. If I had an external injury, I might consider acupuncture, but for internal problems I want something that's proven to deal with the problem and quickly. I've just researched cabbage juice... I'm going to have about 5 cups a day for a week to see if that does anything good - it's supposed to heal stomach ulcers. I'll do one more ultra sound at Guo Tai, but I'm not going to have the endoscopy, as (real) modern medicine doesn't need to use such an invasive method to diagnose a stomach ulcer. I'm back in the UK at the end of June, I'll just get the tests done there.
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