This study compared two five-drug regiment , Protocol I ( Bismuth sub citrate , Omeprazole , Amoxicillin , Clarithromycin , Tinidazole ) and Protocol II (Bismuth sub citrate , Omeprazole , Tetracycline , Metronidazole and Ofloxacin ) on the eradication rate of Helicobacter pylori infection in dyspeptic patients resistant to treatment. The sample census will be the method in this way all patients referred to digestive clinics in Rasht that under drug treatment and resistant to quadriple or triple regiment and did not show a positive response during a year are enrolled. Helicobacter pylori positive patients over 15 years and less than 65 years that under regiment triple or quadruple drugs and urea breath test (UBT) using carbon 14 ( C14 or C13 or stoolAg ) with the European protocol were positive again , enter are studied. The patients are divided into two categories : The first group under five drug regiment ( Bismuth sub citrate 240 milligram two time in day , Omeprazole 20 milligram two time in day, Amoxicillin 1 gram two time in day, Clarithromycin 500 milligram two time in day , Tinidazole 500 milligram two time in day and the second group treated with Bismuth sub-citrate 240 milligram two time in day , Omeprazole 20 milligram two time in day , Tetracycline 500 milligram two time in day , Metronidazole 500 milligram two time in day , Ofloxacin 200 milligram two time in day ) for a week. Then , after the end of 12 weeks of treatment to evaluate treatment with C13 UBT and stool antigen ( stool Ag ) Eradication will be used and if the negative will be considered. If any of the positive tests of helicobacter pylori positive patients considered to be. Also on the end of a week after treatment of drug side effects and the amount of drug use by patients examined.