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If you’re looking for proper diagnosis and clear treatment—not confusing or incomplete advice—you can consult me directly. Available on Practo or via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four This is a paid consultation. I provide structured, step-by-step treatment plans with simple explanations, focused management, and follow-up until recovery. Avoid delays and self-medication—get the right treatment from the start.

Chronic bad breath with your endoscopy findings gastritis with reflux and esophageal erosion usually means the issue is not just acidity, but needs proper step wise treatment. Since symptoms are recurring even after medication, we need to check for H. pylori infection review your previous treatment properly adjust medicines and diet also routine accordingly This is very much treatable, but needs the right approach. Please book a consultation so I can guide you step by step and help you get long term relief.

The main causes may include Gastroesophageal Reflux Disease (GERD), chronic acidity, Esophageal Erosion, and Duodenitis. Contributing lifestyle factors include frequent intake of spicy and junk food, late-night eating or sleeping, not walking after meals, smoking, alcohol consumption, stress, and indigestion. You should visit our clinic for a detailed evaluation. We will take a complete history and perform a thorough physical examination. Based on your condition, we will advise appropriate investigations as required

The endoscopy findings indicate that the treatment with PPI is required for atleast 8 -12 weeks for the healing,do continue with the treatment your physician has prescribed

It is common for these conditions to be chronic, meaning they can last for months or years and may flare up even after a month of medication. Medications like Proton Pump Inhibitors (PPIs): Such as omeprazole or esomeprazole, to block acid production and allow the lining to heal. Antibiotics: If a breath or stool test confirms an H. pylori bacterial infection. H2 Blockers: Such as famotidine, to reduce acid released into the digestive tract.

FIRST OF ALL CHANGE LIFE STYLE N DIET PLAN DRASTICALLY OTHERWISE NO THERAPY GIVES U PROPER RESULT.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

​Hello, ​It is understandable to be frustrated when symptoms like bad breath and burning sensations persist despite medical treatment. Your endoscopy results indicate significant inflammation in the lower part of your stomach (antral gastritis), the beginning of the small intestine (duodenitis), and damage to the food pipe (esophageal erosion). ​1. The "Lax Incompetent" LES and Bad Breath The endoscopy mention of a "lax incompetent" cardiac sphincter (Lower Esophageal Sphincter) is very important. ​Mechanism: This valve normally stays closed to keep stomach acid and gases down. When it is "lax" or weak, stomach contents and acidic vapors can travel back up (reflux). ​Bad Breath (Halitosis): In your case, the severe bad breath is likely not an oral hygiene issue, but rather caused by these stomach gases and fermented material escaping through the weak sphincter. ​2. Why Symptoms Return After Medication One month of medication is often just the beginning of healing for "erosions". If the underlying cause-such as H. pylori bacteria, high stress, or specific dietary triggers-is not fully managed, the inflammation will recur as soon as the acid-blocking medication wears off. ​Recommended Diagnostic & Treatment Steps: ​H. pylori Testing: If not already done during your endoscopy via a biopsy, you should have a Urea Breath Test or Stool Antigen Test. This bacteria is a leading cause of antral gastritis and must be treated with a specific antibiotic "quadruple therapy". ​Prokinetic Medications: Since your sphincter is lax, a doctor may add a "prokinetic" medication. This helps the stomach empty faster and strengthens the sphincter to prevent reflux. ​Follow-up Endoscopy: Given the esophageal erosions, a repeat endoscopy in 2–3 months may be needed to ensure the tissue is healing and not developing further complications. ​Management Advice: ​Dietary Discipline: Avoid the "Big Three" triggers: Caffeine (coffee/tea), spicy foods, and high-fat/fried meals. These further relax the sphincter and irritate erosions. ​Mechanical Prevention: Do not lie down for at least 3 hours after eating. Sleep with your head slightly elevated (using a wedge pillow) to let gravity keep stomach contents down. ​Smaller, Frequent Meals: Large meals put pressure on a lax sphincter. Eating smaller portions can significantly reduce the "bad breath" and burning sensations. ​Summary: Your symptoms are directly linked to the physical weakness of the stomach valve and ongoing inflammation. Success will require a combination of confirming an H. pylori diagnosis, using medications that aid stomach movement, and strict lifestyle changes to protect the esophagus. ​Best regards.

NEED SOME INFORMATION OF YOURS TO GIVE YOU BETTER TREATMENT PLAN

1 month is less I think

1month is too short course of duration you willl need to add some other drugs alongside Kindly take appointment

Needs to focus on your diet and lifestyle with proper medication. Within 2 - 3 weeks we can fix this condition.

Hi. Avoid fast foods , take fiber rich foods , plenty of liquid . Tab buscogast 1 BD after meal. X 5 days . Do LFT, blood sugar fasting and share reports for better treatment with Dr R S SAINI.

Hllo , I understood your symptoms,, firstly you change your dietary habits and life style modifications . After that take cap Rabeprazole in morning empty stomach .

Bad breath due to acid reflux.you need to first complete your ppi schedule for 8 weeks.h.pylori also suspected. Go for H.pylori test and if its positive then start eradication therapy.

Your endoscopy findings suggest chronic acid-related disease — mainly gastritis, duodenitis, and reflux (due to lax/incompetent LES). This explains both your burning sensation and bad breath. Bad breath in your case is likely from acid reflux + inflammation + possible bacterial overgrowth, not just oral causes. Since symptoms are persisting after 1 month of treatment, it means either: 1)treatment duration was insufficient, or 2)H. pylori infection may not have been addressed, or 3)lifestyle triggers are continuing

need more information kindly consult

Need a few more details please consult for further evaluation and treatment

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

Bland diet helps

Take small frequent meals

Consult online Avoid eating stomach full Do not drink water immediately after meal atleast half an hr Consult online will guide you Oral hygiene Use hexidine mouth wash Start syrup mucaine gel twice daily

Kindly do connect and consult