Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

Your symptoms—burning in the chest/throat, sour taste, lump-in-throat feeling, rib pain, bloating, and constipation—suggest a possible recurrence of acid reflux (GERD) or H. pylori-related gastritis. Since you had similar issues before and got relief with treatment, it’s best to get checked again to confirm if the infection is back or if it’s just acid reflux acting up.

Please consult a Gastroenterologist in your area for a physical examination and a few endoscopies.

Dear Patient,  Thank you for sharing your symptoms. Based on your description, it appears you are experiencing recurrent symptoms of **acid reflux (GERD)**, possibly due to **H. pylori reinfection** or another underlying issue like gastritis or functional dyspepsia. The burning sensation, sour taste, lump-in-throat feeling (globus sensation), and rib pain are classic signs of acid-related disorders. The fact that your symptoms improve after eating but worsen on an empty stomach further supports this.  Your history of a prior **H. pylori infection* (treated successfully) raises the possibility of reinfection or antibiotic resistance. Constipation and upper abdominal swelling could indicate **gastroparesis* *intestinal motility issues*, or dietary triggers. A repeat *H. pylori stool antigen test* or *breath test is advisable, along with an *upper endoscopyif symptoms persist, to rule out ulcers or inflammation.  Immediate Steps:  1. Diet/Lifestyle: Avoid spicy/acidic foods, caffeine, alcohol, and large meals. Eat smaller, frequent meals.  2. Antacids: Use OTC antacids (e.g., Gaviscon) for temporary relief.  3. **Proton Pump Inhibitors (PPIs)**: If previously prescribed (e.g., omeprazole), resume a short course (1–2 weeks) but avoid long-term use without supervision.  However, self-medication is not safe. Your symptoms require proper evaluation, including potential lab tests or imaging. Recurrent H. pylori needs targeted antibiotics, and persistent swelling may need further assessment (e.g., liver/gallbladder tests).  Consultation Needed Please schedule an appointment with me for a detailed evaluation and tailored treatment plan. For quicker coordination, you can reach me on WhatsApp at Eight Zero Zero Nine Eight Two One Three Three Two. 

Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Listen till u don't change life sty le n diet plan drastically  u think u r all clear but wit medicine.  Symptoms reappear as you miss basic necessity CHANGE  CHANGE  CHANGE. SO FOR NOW NEXPRO RD40 ONE IN EMPTY STOMACH FOR TWO WEEKS. MUCAIN GEL10 ML WITHOUT WATER,  NOTHING BY MOUTH TILL MIN CAN BE USED THREE TIMES OR MORE . LIGHT  NON SPICY, non fried light diet.

Need few more details kindly consult

Gastritis. Avoid spicy foods. Avoid coffee and tea in empty stomach. Use more of curd and butter milk.

If you have a prominent swelling,  take a repeat ultrasound and abdominal xray erect and supine Take timely meals Avoid caffeine and other beverages Avoid spicy food Take tablet pan-d bd for 7 days

- Avoid hot oily and spicy food - Avoid prolonged fasting, try to eat in small portions every 3 hrs

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Need further history. Please consult for further evaluation

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Pan d twice a day for 5 days

Can help you, kindly consult and provide detailed history for proper diagnosis and further management