Gastro intestinal problem gerd, hypochlorohydria, smelly, flatulence, loose stools many timesit is floating, yellow colour stools - #10979
Is hypochlorohydria after long standing h pylori infection curable or reversible, can dysfunctional parietal cells and reduced chief cells regenerate again and restore its function. I don't have any atrophy, dysplasia and metaplasia in the biopsy so is it possible. Please give me an honest reply. And I also want to know do h pylori bacteria indirectly cause bile problem? Because after this infection I have developed loose, floating stools with smellyflatulence after eating protein and fast but that has reduced to a great extent, is these symptoms also because of bile sluggisness, because my colour of stool is always yellow and little bulky with minimal smell in thestool and my pancreas test was also ok, so what it may be? Can bile issues be managed or cured permanently?
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Doctors’ responses
Hypochlorhydria following a long-standing H. pylori infection is something that can potentially be reversible, especially if there’s no evidence of gastric atrophy, dysplasia, or metaplasia on biopsy. With elimination of the H. pylori infection, over time, the parietal cells may regain their function if not significantly damaged. This typically depends on the extent of any sustained damage and individual variation in healing, but without atrophy or more severe pathology, recovery is certainly possible. Consistent follow-up with your gastroenterologist would be a wise course of action to monitor progress.
Regarding your question about H. pylori causing bile problems, while direct causation is not firmly established, H. pylori can certainly disrupt the normal digestive process. It can lead to alterations in gastric secretions and motility, indirectly affecting bile flow and digestion, especially when dietary fats are involved. Your symptoms, like loose, floating stools and flatulence after consuming protein and fats, could indeed suggest issues with bile flow or digestion. The yellow color of stools may indicate rapid transit or insufficient bile, rather than pancreatic insufficiency, given your pancreatic function tests were normal.
Management of bile issues typically focuses on addressing lifestyle and dietary factors. Incorporating foods that enhance liver and gallbladder function, such as bitter greens, lemons, and beets, might help improve bile flow. Reducing fatty food intake in the short term could also relieve symptoms. In more persistent cases, medical treatments like bile salt supplements can support bile acid activity. It’s crucial to discuss these symptoms with your healthcare provider, who may recommend further testing, such as imaging of the gallbladder or small intestine, to explore underlying causes. Regular follow-up is essential to ensure the best possible treatment course and to rule out any potential complications.
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