Hello,
I understand it is frustrating to continue feeling these symptoms after two months of regular medication. While your tests were negative for H. pylori bacteria, the inflammation (gastritis and duodenitis) is still causing significant discomfort.
Here is why you may still be experiencing these issues and what we can do:
Healing Time: Gastritis and duodenitis can take a long time to heal, especially if there are dietary triggers. Even with medicine, the stomach lining remains sensitive.
Dietary Habits: Avoid spicy foods, caffeine, carbonated drinks, and very oily meals, as these can bypass the effect of your medications. Try eating smaller, more frequent meals to reduce gas buildup.
Weight & Nutrition: Your weight is quite low for your height. This can sometimes make the digestive system more sensitive. The 'warm body' feeling you describe can sometimes happen when the body is struggling to process food or due to slight dehydration.
Probiotics: Since you have constant gas and burping, we might consider adding a probiotic to help balance your gut bacteria, as the current enzymes (Enzar Forte) focus only on breaking down food.
Recommendation: Please continue your medications but maintain a strict 'bland diet' (khichdi, curd, non-acidic fruits) for the next 2 weeks. If the burning in your stool and gas do not improve, we may need to investigate for SIBO (Small Intestinal Bacterial Overgrowth) or check a stool routine test.
Next Steps
Based on your current status, here are my recommendations:
Medication Timing: Are you taking the Sompraz D 40 strictly 30 minutes before your first meal? If taken with food or after a meal, its effectiveness in blocking acid production is significantly reduced.
The 'Warm Body' & Weight Sensation: At 40 kg, your body weight is quite low for your height. The 'warm' feeling and inability to gain weight despite medications suggest we should check your
Thyroid Profile (
TSH, T3, T4) to rule out an overactive thyroid (hyperthyroidism).
Screening for Celiac Disease: Since you have confirmed duodenitis (inflammation in the first part of the small intestine), we should perform an Anti-tTG (IgA) blood test. This will help us see if a sensitivity to gluten (found in wheat/roti) is preventing your gut from healing and absorbing nutrients.
Health Tips
Please get the
TSH and Anti-tTG tests done so we can adjust your treatment plan accordingly.