This is actually a common and underrecognized problem â long-term PPI use for gastritis reduces stomach acid significantly, which can itself cause bloating, food not digesting, and paradoxical reflux because the lower esophageal sphincter doesn't tighten properly without adequate acid. H. pylori infection is the most common cause of antral gastritis and can disrupt stomach acid regulation â if you haven't been tested and treated for H. pylori, that's a critical missing step. PPI alone won't resolve H. pylori-driven gastritis.
Next Steps
Ask your doctor to test for H. pylori (stool antigen or breath test) if not already done. Once gastritis is confirmed resolved, PPIs should be gradually tapered (not stopped abruptly) rather than continued long-term. Please consult me directly on Practo for a detailed evaluation.