Gerd, chronic dudenities, g cell prominent, - #10825
I am suffering from acid refux from last 7 years . I have chronic dudenities and g cell prominent (recent biopsyreport on dt - 01: 08: 2025) . Fatty liver grade 1 . Every day After eating food comes from stomachto mouth. When I eat pure veg symptoms decrease. AlwaysI feel pain in my left side chest . And burning sensationa after every meal .
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Doctors’ responses
Hello dear Please be advised See as per clinical history the gastroesophageal reflux disease ( gerd) is confirmed by the biopsy report You need to take following medications and precautions Avoid fat intake and take boiled food Avoid junk food Increase fibre intake Take plenty of vegetables ( green) and fruits Avoid citrus fruits for atleast 3-4 months Avoid spicy goo Take below medications for improvement Cap Omeprazole half hour after food intake Pantop d 40 mg empty stomach Get following tests done Barium meal Stomach scan Please share the results with gastroenterologist in case onno recovery in 1 month Regards
Your symptoms suggest long-standing acid reflux with duodenitis, and the biopsy findings plus fatty liver need careful management. A gastroenterologist can guide you with the right medicines, dietary adjustments, and tests to prevent further damage. I recommend avoiding trigger foods, eating smaller frequent meals, and arranging a specialist consultation for a tailored treatment plan and possible endoscopy follow-up.
Hello jyotirenjan ,
Am sorry to hear about your longstanding struggle with GERD,
Follow the instructions below with the Advise from your Ganstoentrokogist, 1.Have small and frequent meals 2.no water during or just after the food intake 3.low fat and less spicy diet 4.do exercise ( waking or jogging) improves digestion 4.take dinner at lest 2 hours before bed 5. Include Curd ( yogurt with probiotic) in the diet
Kindly revert back with your queries and if have any doubts with medication which you may already taking
Hello Jyoti Chronic hyperacidity / possible hypergastrinemia (due to G-cell prominence, which means your stomach may be producing more gastrin leading to more acid)
It can be reactive (from chronic inflammation like duodenitis or H. pylori infection)
Diet
Eat small, frequent meals instead of large ones.
Avoid: fried food, spicy food, citrus, tomato, onion, garlic, chocolate, coffee, tea, carbonated drinks.
Prefer: plain dal, khichdi, boiled vegetables, soft roti, oatmeal, bananas, papaya, curd (if tolerated).
Lifestyle
Don’t lie down for at least 3 hours after eating.
Sleep with your head elevated (extra pillow or wedge).
Avoid tight belts and bending forward soon after meals.
Investigation H. pylori testing (if biopsy didn’t already include it)
Fasting gastrin level to see if acid production is abnormally high
Upper GI endoscopy follow-up every 2–3 years to check for complications like Barrett’s esophagus
Medication Pantop 40 mg morning empty stomach (not life long) Sucralfate suspension before meals to coat and protect the lining
Consult gastroenterologist for better treatment
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