After your history of H. pylori infection, recurrent symptoms, and
B12 deficiency:
These are my possible differentials
Post H. pylori gastritis with possible incomplete eradication
Vitamin B12 deficiency state
Functional dyspepsia
Post-infectious IBS (Irritable Bowel Syndrome)
Stress-induced gastrointestinal symptoms
Next Steps
Schedule a follow-up gastroenterology consultation
Get H. pylori stool antigen test to confirm eradication
Check complete
B12 levels and other nutritional parameters
Consider upper GI endoscopy if symptoms persist
Health Tips
Lifestyle Modifications
Stress Management:
Regular exercise
Adequate sleep
Relaxation techniques
Mindful eating practices
Supplementation:
Continue
B12 supplementation under medical supervision
Consider probiotic supplements
Take supplements with meals to avoid diarrhea