Consult for the evaluation and management

Consult gastroenterologist again and start prebiotic and probiotics in your deit Kindly start personalised anti inflammatory diet after consulting

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

Your symptoms suggest a recurrence of H. pylori-associated erosive gastritis, which can happen if the bacteria are not completely eradicated or if there are additional factors contributing to gastric irritation. The black stool indicates upper gastrointestinal bleeding, likely from the inflamed stomach lining. Next Steps: 1. Confirm Eradication – A stool antigen test or urea breath test should be done at least 4 weeks after completing triple therapy to check if H. pylori is still present. 2. Extended Treatment – If H. pylori persists, a second-line antibiotic therapy with a different combination may be needed. 3. Diet & Lifestyle Changes – Avoid spicy, fried, and acidic foods. Reduce caffeine, alcohol, and smoking (if applicable). Eat small, frequent meals and avoid late-night eating. 4. PPI and Mucosal Protectors – Continue proton pump inhibitors (PPIs) like omeprazole or pantoprazole for a few weeks under medical supervision. Medications like sucralfate may help heal the stomach lining. 5. Follow-up Endoscopy – If symptoms persist, another endoscopy may be needed to assess the severity and rule out complications like ulcers. Since your symptoms have returned, I strongly advise a proper follow-up consultation to reassess your condition and adjust treatment accordingly. You can reach me on WhatsApp at eight zero zero nine eight two one three three two.

Check for endoscopy.

Dietary restrictions to be followed for 6 months

Need few more details Kindly consult

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.

Erosive gastritis with H. pylori home diet: consume alkaline foods like bananas, melons, and green leafy vegetables, lean proteins, whole grains, and healthy fats, while avoiding acidic, spicy, fatty, or fried foods, citrus fruits, tomatoes, chocolate, and caffeine.

Avoid fried food and spicy Water intake more Green leafy vegetables and fruits Water intake more

Get an endoscopy done

Needs to be evaluated. Do Consult.