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

Its not at all advisable to take ppi for so long period Pls stop and avoid to take Consult on practo

Continue taking it before breakfast Consult gastroenterology department

Kindly do endoscopy and CT scan abdomen and consult a surgeon

Kindly mention about ur weight, smoking habbit and alcohol . Its not safe to take ppi for long time so adapt life style changes like diet rich in fruits and vegetables, low salt diet,  daily exercise weight loss and use of pillow while sleeping , prefer sleeping to left side and increase frequency of meals but decrease meal size

Kindly elaborate your symptoms. Whether it is associated with diarrhea or constipation.

आपके प्रश्नों को मैं पूरी तरह से समझ पा रहा हूं। आपकी इस समस्या को पूरी तरह से निदान करने के लिए मुझे और जानकारी की आवश्यकता होगी साथ में कुछ सामान्य टेस्ट और प्राथमिक पारिवारिक इतिहास को भी जानने की जरूरत रहेगी। आपकी दिनचर्या और अन्य आदतों को भी जानने की आवश्यकता होगी इसलिए इस समस्या की ट्रीटमेंट के लिए एक बार फोन या वीडियो कॉल के जरिए कंसल्टेशन हो सके तो ज्यादा बेहतर है। I completely understand your concern. To diagnose your problem completely, I would need more information as well as some general tests and a primary family history. Your routine and other habits will also need to be known, so for the treatment of this problem, once consultation can be done through phone or video call, it is better.