Hello dear Please be aware You can take pantop dt or Omeprazole In addition please follow below instructions Avoid flatulent food like lady finger or potatoes Take more of boiled food Avoid certain fruits like apple and guava For further clarification consult gastroenterologist for better clarification Regards
Persistent acidity with heavy blood vomiting and yellowish fluid despite multiple endoscopies is serious and may suggest hidden ulcers, varices, or bile reflux. Repeated symptoms without clear diagnosis need advanced evaluation like pH monitoring, bile reflux scan, or second opinion from a gastroenterologist. Consult a specialist immediately to prevent further complications and get a precise diagnosis with targeted treatment.
Investigation
H. pylori antigen stool test or urea breath test
Liver function tests + CBC – To check for hidden liver or variceal causes
RX 1) Tab Pan D 1 tab before breakfast daily for 14 days 2) Tab sucralfate 1 gm 1 tab 3 times a day 1 hr before meal for 14 days
Follow up
Dietary & Lifestyle Modifications: Eat small, frequent meals Avoid late dinners (eat >2 hrs before bed) No tea/coffee, carbonated drinks, spicy food Avoid NSAIDs / alcohol / smoking Sleep with head elevated (extra pillow or bed wedge)
When facing persistent symptoms like acid reflux and blood vomiting, especially if standard tests have shown no clear cause, it’s important to re-evaluate the approach to both diagnosis and treatment. First, the heavy blood vomiting you’re experiencing could indicate a more serious underlying issue that needs urgent attention, like a bleeding ulcer or esophageal varices, especially if there’s accompanying yellowish fluid, which could be bile. You should consult with a gastroenterologist for a comprehensive review of your symptoms, current medications, and history—sometimes additional tests like a CT scan, MRI, or even a capsule endoscopy might provide more detailed insights. They might also want to explore conditions like Zollinger-Ellison syndrome, which involves excessive acid production. Avoid irritants like alcohol, smoking, and nonsteroidal anti-inflammatory drugs (NSAIDs), as they can exacerbate gastrointestinal bleeding. Dietary modifications, such as reducing caffeine intake and spicy foods, might also relieve symptoms. It’s essential to check if medications like proton pump inhibitors (PPIs), which reduce stomach acid, are taken as prescribed. If traditional medicines haven’t helped, there may be a need for an advanced therapeutic endoscopy procedure or surgical options. Always ensure medications, whether allopathic or Ayurvedic, are monitored—it’s important they don’t interact harmfully. In this complex scenario, your safety is paramount, so please follow up with healthcare specialists to get to the cause of ongoing symptoms and explore more tailored therapies.
