*Since you have already undergone a detailed gastroenterology evaluation and your weight has improved from 34 kg to around 44 kg, it is reassuring. However, persistent chest tightness after meals and previous significant weight loss warrant further review.
Next Steps
Continue your prescribed medications (Ganaton, Nexpro, Thyronorm) exactly as advised by your treating gastroenterologist.
* Follow up with your gastroenterologist to assess whether your current PPI dose is adequate and whether additional evaluation (e.g., repeat endoscopy if indicated, H. pylori status, or esophageal motility/pH study) is required.
* Because chest tightness can have causes other than gastritis, consult a cardiologist for an ECG and 2D Echocardiography, especially if symptoms occur with exertion or are worsening.
Health Tips
* Eat 5–6 small, frequent meals instead of large meals.
* Include high-protein, high-calorie foods (milk if tolerated, curd, eggs, paneer, dal, nut butter, protein supplements if advised).
* Avoid spicy, oily, acidic foods, tea/coffee, alcohol, smoking, and late-night meals.
* Do not lie down for 2–3 hours after eating; elevate the head end of your bed.
* Stay well hydrated and monitor your weight weekly.