After H. pylori treatment and duodenal ulcers, the stomach mucosa remains sensitive for several weeks beyond the antibiotic course. The heavy meal (mutton, soup, potatoes) on June 28 likely overloaded a still-healing gut, triggering the bloating and bubbly sensation. Ayurvedic preparations can also sometimes irritate a sensitive gut. The priority now is: (1) Restart a PPI or vonoprazan (Vonograss 20 mg) for 4 more weeks to ensure complete ulcer healing. (2) Eat a bland, light diet â avoid heavy meats, deep-fried food, and gas-producing foods (cabbage, beans, carbonated drinks) until symptoms settle. (3) Take a probiotic daily to restore gut flora disrupted by the H. pylori antibiotics. (4) Most importantly, get an H. pylori eradication test â either a stool antigen test or urea breath test â at least 4 weeks after stopping the antibiotic kit and 2 weeks after stopping the PPI, to confirm the bacteria has been cleared.
Next Steps
Restart a PPI for 4 weeks and get an H. pylori eradication test after that. Stick to light, home-cooked meals for now. Please consult me directly on Practo for a detailed evaluation.