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[[Category:Gastroenterology]]

Latest revision as of 20:14, 6 July 2016

Achlorhydria Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Achlorhydria from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Achlorhydria medical therapy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

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X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Achlorhydria medical therapy

CDC on Achlorhydria medical therapy

Achlorhydria medical therapy in the news

Blogs on Achlorhydria medical therapy

Directions to Hospitals Treating Achlorhydria

Risk calculators and risk factors for Achlorhydria medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Medical Therapy

Achlorhydria is often the result of another disease process, so the treatment is usually focused on the underlying condition.

  • For achlorhydria associated with immune-mediated conditions, such as insulin dependent diabetes, autoimmune thyroiditis, treatment of these disorders should also be the first. However, treatment of these diseases has no known effect in the treatment of achlorhydria.
  • The standard therapy for achlorhydria associated with H. pylori infection is to eradication H pylori by PPI plus clarithromycin plus amoxicillin. For patients who are allergic to penicillin, amoxicillin can be replaced by levofloxacin.
  • For achlorhydria resulting from anti-inflammatory medications, the treatment is stopping taking the drugs. If anti-inflammatory medications must be taken, the patient may benefit by ingesting them with meals or milk.
  • Treatment of gastritis that leads to pernicious anemia consists of parenteral vitamin B-12 injection.
  • Achlorhydria resulting from long-term PPI use may be treated by dose reduction or withdrawal of the PPI.
  • Antibacteria therapy: Antimicrobials such as metronidazole, amoxicillin-clavulanate potassium, ciprofloxacin, or rifaximin are suggested to treat bacterial overgrowth.
  • Nutritional supplementation
  • Dietary counseling

References

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