Consult online Need proper history and evaluation for further treatment Get endoscopy Get routine blood test Hp test Stool antigen test Consult online will guide you further

This needs further evaluation 1. Investigations Upper GI endoscopy: To check for gastritis, esophagitis, ulcers, or signs of H. pylori. Urea breath test (non-invasive) Stool antigen test Biopsy during endoscopy (if done) Ultrasound abdomen to rule out gallbladder issues or pancreatic causes. 2. Medications Restart Omeprazole 20–40 mg once daily (preferably before breakfast) for at least 4–6 weeks. Consider adding Domperidone Antacids or Sucralfate syrup before meals can help soothe symptoms. (IN EXTREME MODERATION) 3. Dietary Recommendations Continue small, frequent meals. Avoid spicy, oily, citrusy, fermented, and very fibrous foods temporarily. Consider stopping buttermilk for now – it might be contributing to bowel irregularities or acidity in some individuals. Eat early dinners, at least 2–3 hours before bedtime. Avoid lying down or reclining soon after meals.

U r on good  prescription. Till u don't change life style n diet plan drastically first no therapy gives u proper results.

Need few more details Kindly connect.

Immediately consult for sob

Need few more details Kindly consult

Gastritis. Avoid spicy food. Avoid coffee and tea in empty stomach.

Tab pantop DSR 40/30 Mg 1OD for 1 wk Connect

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