Question

A 33-year-old with persistent dyspepsia completes a 14-day bismuth quadruple therapy for H. pylori. When and how should eradication be confirmed?

Accepted Answer

Urea breath test ≥4 weeks after therapy with PPI held ≥2 weeks

Answer

No test is needed if asymptomatic

Answer

Serology now

Answer

Stool antigen within 7 days of completing therapy

Answer

Endoscopy only if symptoms persist

Practice question

A 33-year-old with persistent dyspepsia completes a 14-day bismuth quadruple therapy for H. pylori. When and how should eradication be confirmed?