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Chronic Gastritis
Despite medical management with proton pump inhibitors, analgesics, and supportive medications, the abdominal pain persisted. Investigations including CECT abdomen, abdominal ultrasonography, and X-ray revealed no significant abnormalities. Upper gastrointestinal endoscopy performed in February 2026 showed antral gastritis with a negative rapid urease test. Due to ongoing symptoms, repeat endoscopy with biopsy was conducted in April 2026, which revealed Grade III lower esophageal sphincter, H. pylori–associated gastritis. I was subsequently treated with H. pylori eradication therapy(HP KIT) and continued ppi's for 4 more weeks.
But symptoms still persist.
Answers (9)
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Kindly consult a physician. They will do a breath test to review your eradication status.
Next Steps
consult a gastroenterologist.
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Hi,
Continue your current PPIs for now and avoid spicy and oily foods.
A follow up with your gastroenterologist would be worthwhile.
Feel free to consult for further guidance.
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Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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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. Sumit Verma
General Physician
5 yrs exp
Kanpur
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices.
9 # Keep vaccinations up to date
Vaccines help prevent many serious infections.
10 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
11 # Take medications only as prescribed
Avoid self-medicating, especially with antibiotics.
12 # Protect yourself from excessive sun exposure
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Bland diet helps
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.