Really appreciate some help as I’m as confused as can be. I have PA megablastic. I have gastritis chronic and atrophic in places. I’ve tested negative for HPylori but also positive in a biopsy
My stomach is in constant pain and I’m trying to sort my diet to get the best outcome.. currently on keto not sure it’s the best thing
What I’m trying to understand is if I have low or high stomach acid .. dr’s prescribed ant acids but I’ve read o. Here my issue is likely low acid ..which is it likely to be ? Thanks 🙏
Definitely worth the look. 
It will be low or no acid (Hypochlorhydria or Achlorhydria. .That is common to all Pernicious Anaemia patients . The intrinsic factor antibodies which P.A. patients have , destroy the Parietal cells that produce the intrinsic Factor and also stomach acid Antacids or PPIs ( Proton Pump Inhibitors ) are the worst medications possible for you . Keto diet will not do you any harm . Low stomach acid upsets the stomach flora ( good bacteria ) and allows bad bacteria to take over. Resulting in gas , stomach pain etc . Low stomach acid hinders the absorption of other vitamins and minerals , so it’s good to take a modest vitamin and mineral supplement . I found that a probiotic called Symprove helped me enormously . I took a 3 month course of it . But there are other probiotic tablets to take . Also taking an acidic drink with meals is helpful . Natural probiotics like true yoghurt , kefir, sauerkraut and kimchi are also good . My stomach is now trouble free . I also ensure that I have adequate B12 injections by self-injecting often enough to keep all symptoms of B12 deficiency at bay .
Stomach acid is so very important for our health .
Best wishes .
Thank you wedgewood.. I have been doing the kefir .. vitamins and hcl and pepsin but to no avail.. I’m wondering if I’m intolerant to dairy .. appreciate your reply 😀
Hi since I’ve stopped lactose and gluten my gut is so much better,you can still have full fat milk if you wish to but just get the lactose free milk,Aldi Lidl Sainsbury’s all do it beside the usual milk.I’ve had HPylori a few times now and I have pernicious anemia amongst other things.I am able now to eat a great diet combining these things with b12 shots.best of luck
thank you ... how did you get rid of the hpylori ?
Hi lifegems sorry about the delay replying not had the best of days lol.The most efficient treatment for HPylori is triple therapy so 2 antibiotics and a ppi.I’m not sure what’s going on at your gp but if the stomach biopsy has shown HPylori then if I was you I’d contact the consultant or his secretary for advice,it’s unusual for the breath test or a stool sample not to show active HPylori , I would ask for the tests to be done again if you have no luck contacting your gastric consultant.It’s not something you want to leave untreated.I have pernicious anemia and each time I’ve had HPylori I’ve had the triple therapy treatment I’ve had no issues with the ppi ,the secret is to take as prescribed for two/3 weeks then don’t immediately stop them taper off so it’s easier on your gut because you are trying to heal any damage the HPylori has done.Hope this helps and be gentle with your diet your poor tum is very delicate just now.I’m fine now gut wise and I took a long journey getting to where I am.best of luck x
Thanks so much .. as I’m in Portugal it’s the surgeon who also Recc the breath test for both me and hubby .. he was negative too.. she said the biopsy only showed slight h pylori.. not sure how that works ! It’s so confusing to know what to do for the best .. tummy’s worse than it’s been in ages but not sure if that’s not the keto diet .. I m going to try and cut out dairy see how that goes 😀
I really would take a course of Symprove . It is suitable for dairy intolerant patients . It is water-based. Look it up and read all about it . As for kefir , that may not have enough probiotics for someone who has a serious problem, but great for maintenance . - Also fermented dairy products are often tolerated by dairy averse patients . I’m certainly only advising solutions which are not harmful if they are not successful . Are you continuing to take the ant-acid preparation that was prescribed ? If you do have Helicobacter Pylori , it will have to be sorted first of all .
i decided not to take the ant acids, i would love to take symprove but im in Portugal and they dont sell here, and if i ship in from UK what with brexit it will be a nightmare as i dont think food stuffs are allowed. and then i worry about it losing efficacy through the length of time it might take to get here, but i will see if i can source in EU. But last time i looked no. As for the Hpylori i really dont know what to do, the dr thought the biopsy might have been a false positive hence the breath test which came back negative so this is what she will say, and i dont want to take a load of antibiotics if i dont have to, its so frustrating !
Hi, Amazon.de stock symprove, and they ship to Portugal.Hope this may help sourcing.
Wow thanks so much ! I shall look now
I cannot for the life of me understand why , as a Pernicious Anaemia patient you were prescribed an ant-acid , when every doctor should know that P.A. is caused by the lack of acid as well as lack of the Intrinsic Factor . ( destruction of Parietal cells by I.F. antibodies . ) As there is some doubt as to whether you have H. Pylori , I would be inclined to change doctors . Is that a possibility ?
Unfortunately not so easy .. I’m in Portugal so not quiet straightforward.. i may have got it wrong with the prescription as it’s in Portuguese.. but I don’t think so . Thanks so much for your help
I have also found your post useful. I've also just had a gastroscopy b& found to have inflammation of the stomach & small bowel. No acid test done but omeprazole given. Not taken it yet though as dubious 🤔. Going to do bicarbonate acid test to ascertain. Need natural remedies preferably. Am also a hypothyroid patient on Levothyroxine.
Good luck ! It’s confusing at times 😩