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Burning sensation in stomach & bad breat
I have been struggling with severe bad breath & gut inflammation for 1 year , endoscopy result - antral gastritis with duodenuitis with esophageal erosion , lax incompetent 34 ccms, I have used medicine for 1 month but no clear improvement again symptoms coming back , "plz help me with this 🙏🙏🙏"
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Chronic bad breath with your endoscopy findings gastritis with reflux and esophageal erosion usually means the issue is not just acidity, but needs proper step wise treatment.
Since symptoms are recurring even after medication, we need to
check for H. pylori infection
review your previous treatment properly
adjust medicines and diet also routine accordingly
This is very much treatable, but needs the right approach.
Please book a consultation so I can guide you step by step and help you get long term relief.
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The endoscopy findings indicate that the treatment with PPI is required for atleast 8 -12 weeks for the healing,do continue with the treatment your physician has prescribed
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It is common for these conditions to be chronic, meaning they can last for months or years and may flare up even after a month of medication.
Medications like Proton Pump Inhibitors (PPIs): Such as omeprazole or esomeprazole, to block acid production and allow the lining to heal.
Antibiotics: If a breath or stool test confirms an H. pylori bacterial infection.
H2 Blockers: Such as famotidine, to reduce acid released into the digestive tract.
Next Steps
Dietary Adjustments:
Avoid Triggers: Spicy, acidic (citrus/tomato), fried, or fatty foods.
Small, Frequent Meals: To avoid putting too much pressure on the stomach
Stop eating
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FIRST OF ALL
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY OTHERWISE NO THERAPY GIVES U PROPER RESULT.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Hello,
It is understandable to be frustrated when symptoms like bad breath and burning sensations persist despite medical treatment.
Your endoscopy results indicate significant inflammation in the lower part of your stomach (antral gastritis), the beginning of the small intestine (duodenitis), and damage to the food pipe (esophageal erosion).
1. The "Lax Incompetent" LES and Bad Breath
The endoscopy mention of a "lax incompetent" cardiac sphincter (Lower Esophageal Sphincter) is very important.
Mechanism: This valve normally stays closed to keep stomach acid and gases down. When it is "lax" or weak, stomach contents and acidic vapors can travel back up (reflux).
Bad Breath (Halitosis): In your case, the severe bad breath is likely not an oral hygiene issue, but rather caused by these stomach gases and fermented material escaping through the weak sphincter.
2. Why Symptoms Return After Medication
One month of medication is often just the beginning of healing for "erosions". If the underlying cause-such as H. pylori bacteria, high stress, or specific dietary triggers-is not fully managed, the inflammation will recur as soon as the acid-blocking medication wears off.
Recommended Diagnostic & Treatment Steps:
H. pylori Testing: If not already done during your endoscopy via a biopsy, you should have a Urea Breath Test or Stool Antigen Test. This bacteria is a leading cause of antral gastritis and must be treated with a specific antibiotic "quadruple therapy".
Prokinetic Medications: Since your sphincter is lax, a doctor may add a "prokinetic" medication. This helps the stomach empty faster and strengthens the sphincter to prevent reflux.
Follow-up Endoscopy: Given the esophageal erosions, a repeat endoscopy in 2–3 months may be needed to ensure the tissue is healing and not developing further complications.
Management Advice:
Dietary Discipline: Avoid the "Big Three" triggers: Caffeine (coffee/tea), spicy foods, and high-fat/fried meals. These further relax the sphincter and irritate erosions.
Mechanical Prevention: Do not lie down for at least 3 hours after eating. Sleep with your head slightly elevated (using a wedge pillow) to let gravity keep stomach contents down.
Smaller, Frequent Meals: Large meals put pressure on a lax sphincter. Eating smaller portions can significantly reduce the "bad breath" and burning sensations.
Summary: Your symptoms are directly linked to the physical weakness of the stomach valve and ongoing inflammation. Success will require a combination of confirming an H. pylori diagnosis, using medications that aid stomach movement, and strict lifestyle changes to protect the esophagus.
Best regards.
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NEED SOME INFORMATION OF YOURS
TO GIVE YOU BETTER TREATMENT PLAN
Next Steps
NEED SOME PERSONAL HISTORY OF YOURSFOR THE EVALUATION
Health Tips
DO CONNECT AND CONSULT WITH ME
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1 month is less I think
Next Steps
Please do consult and review with me
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1month is too short course of duration you willl need to add some other drugs alongside Kindly take appointment
Next Steps
Take appointment
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Needs to focus on your diet and lifestyle with proper medication.
Within 2 - 3 weeks we can fix this condition.
Next Steps
do consult
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Hllo , I understood your symptoms,, firstly you change your dietary habits and life style modifications . After that take cap Rabeprazole in morning empty stomach .
Next Steps
Which medication you take for one month ? Please show me the medicine ..
Health Tips
If any quary .. contact with me . I will change your medicine and your life style modification.
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Bad breath due to acid reflux.you need to first complete your ppi schedule for 8 weeks.h.pylori also suspected. Go for H.pylori test and if its positive then start eradication therapy.
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Your endoscopy findings suggest chronic acid-related disease — mainly gastritis, duodenitis, and reflux (due to lax/incompetent LES). This explains both your burning sensation and bad breath.
Bad breath in your case is likely from acid reflux + inflammation + possible bacterial overgrowth, not just oral causes.
Since symptoms are persisting after 1 month of treatment, it means either:
1)treatment duration was insufficient, or
2)H. pylori infection may not have been addressed, or
3)lifestyle triggers are continuing
Next Steps
-Start/continue a proper course of PPI (like Pantoprazole/Esomeprazole) for at least 6–8 weeks (take consultation for dosage and prescription)
-Get tested for H. pylori (if not already done)
-If positive → take eradication therapy (antibiotics + PPI)
-Add a prokinetic (like levosulpiride/domperidone) if reflux symptoms are significant
-Consider dental check if bad breath persists
Health Tips
•Avoid trigger foods: spicy, oily, caffeine, carbonated drinks
•Do not lie down immediately after meals (keep 2–3 hour gap)
•Eat small, frequent meals instead of large meals
•Elevate head end of bed slightly
•Avoid smoking/alcohol if applicable
•Stress and irregular meals can worsen symptoms significantly
This condition is treatable but needs consistent therapy and lifestyle correction. With the right approach, you should see clear improvement.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Yuvraj Arora Monga
General Physician
29 yrs exp
Delhi
The main causes may include Gastroesophageal Reflux Disease (GERD), chronic acidity, Esophageal Erosion, and Duodenitis. Contributing lifestyle factors include frequent intake of spicy and junk food, late-night eating or sleeping, not walking after meals, smoking, alcohol consumption, stress, and indigestion.
You should visit our clinic for a detailed evaluation. We will take a complete history and perform a thorough physical examination. Based on your condition, we will advise appropriate investigations as required
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Bland diet helps
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Dr. Abhinav Tiwari
General Physician
7 yrs exp
Etawah
Take small frequent meals
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Avoid eating stomach full
Do not drink water immediately after meal atleast half an hr
Consult online will guide you
Oral hygiene
Use hexidine mouth wash
Start syrup mucaine gel twice daily
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Kindly do connect and consult
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