Stress, Lack of sleep Use of antacid long term How to treat  Learn the lesson what to eat first by DIATICIAN.

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long term PPI can cause low stomach acid leading to poor digestion. Taper PPI gradually under doctor guidance. A consultation can review and suggest alternatives. Feel free to book one.

Do endoscopy

This is actually a common and underrecognized problem — 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 — 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.

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You need to change your dietary habits and lifestyle modifications along with medicine.sleep after 2hrs after dinner .regular excercise and use of curd,fibres,green leafy vegetables improves your gerd symptoms.medicine is ok ,no problem continue that.

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Avoid fried and spicy food Water intake more Green vegetables more Fiber meal Walk Do connect and consult Will help you

You have absolute pitta (gastric acid) imbalance in your body. Ayurveda medicines could help you to achieve acid balance in your body along with good digestion. Please consult is personally for treatment and further details

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