This adverse effect is probably related to the treatment itself, as triple therapy for H.pylori includes a medication known as proton pump inhibitor or PPI, which aims at reducing the amount of acid secretion in the stomach. Unfortunately, a lower stomach acid adversely affects the absorption of iron from the stomach (iron is better absorbed in an acidic medium). This side effect is even more pronounced in females in the reproductive age (as is your case) because of loss of blood through menstruation. There is also the possibility of a stomach ulcer that is oozing blood (if you do have a documented stomach ulcer on endoscopic evaluation).
You should do a complete blood count (CBC) to make sure you did not develop anemia due to low iron (iron deficiency anemia. You also may be in need of oral iron supplements and an iron-rich diet.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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