It sounds like you’ve been dealing with a very persistent and frustrating issue. First things first, while many ulcers are related to Helicobacter pylori infection, long-term NSAIDs use can also be a cause. Since you’ve mentioned it’s been years since you took NSAIDs, let’s consider other factors. Extended periods without food could have contributed to your gastric issues, but more importantly, you’re describing symptoms that might suggest a bigger underlying problem like H. pylori infection, gastritis or even gastroesophageal reflux disease (GERD). If these haven’t been tested yet, addressing them could be a real game-changer. I’d recommend getting tested specifically for H. pylori, as eradicating this bacteria could offer significant relief. Treatment involves a combination of antibiotics usually amoxicillin and clarithromycin or metronidazole, taken together with a proton pump inhibitor like the omeprazole you’ve been trying. If you’ve been diagnosed with GERD as well, lifestyle modifications like eating smaller, more frequent meals, avoiding trigger foods (citrus, caffeinated beverages, spicy foods), and not lying flat shortly after meals can be effective. Also, elevating your bed head by about 6-8 inches can aid in reducing nighttime symptoms. The persistent belching could be related to swallowing air along with a hypothesized connection to the stomach lining irritation. Be conscious of how fast you’re eating, as rushing meals could lead to more air intake. While antacids and omeprazole are common treatments, they often don’t solve the problem alone, especially if H. pylori or GERD isn’t properly managed. Finally, if these steps don’t lead to improvement, consider consulting a gastroenterologist to explore further diagnostic evaluations like endoscopy, as there might be other less common causes at play like peptic ulcer disease or esophageal motility disorders that need specialized management. Prioritize following up with a healthcare professional for a personalized examination into all these avenues.
Hello,
Your symptoms for 4 years are not normal and are unlikely to be cured by antacids or omeprazole alone.
Skipping meals in the past does not permanently cause ulcers. The most likely causes are: H. pylori infection (very common and often untreated) Chronic gastritis / acid reflux Aerophagia (air swallowing) causing loud throat gas Permanent cure is possible only if the cause is treated.
What you need to do Get tested for H. pylori (stool test or breath test). If positive ; take 14-day eradication therapy (PPI + 2 antibiotics). Confirm cure with a repeat test after treatment. Consider upper GI endoscopy because symptoms are long-standing and severe. For throat gas: eat slowly, avoid straws/gum, and practice diaphragmatic breathing.
With proper testing and treatment, this condition can be permanently resolved.
I hope this helps Thank you
Syrup digene gel - 2 tablespoon after food for 14 days Syrup Sucral o – 10ml before food 3 times a day as needed
Investigation: Endoscopy CBC
Hello dear See as per clinical history it seems chronic peptic ulcer. It is associated with either helicobacter pylori or excess gastric issue I suggest you to please get following tests done for confirmation Endoscopy Culture and PCR Sigmoidoscopy Anas copy Stomach USG Please share the result with gastroenterologist in person for better clarity Please donot take any medication without consulting the concerned physician Hopefully you recover soon Regards
Hello Fahad, I understand how frustrating and embarrassing this has been for you. Long-standing ulcer symptoms for 4 years without relief from omeprazole means this needs a proper re-evaluation, not just more antacids. Here is what you should do-
1. Get these tests done- Stool H.Pylori Antigen Test, CBC, Endoscopy. Review with reports.
2. For your loud gas from the mouth, take this prescription - - Tab. Domperidone 10mg before meals × 5 days. - Syp. Simethicone 10ml after meals × 7 days.
3. Follow this- Slow eating, no talking while eating. Avoid chewing gum, carbonated drinks. Do diaphragmatic breathing exercises.
4. Diet rules- Eat small meals every 3–4 hours. Do NOT stay empty stomach for long. Avoid: Spicy food, Tea/coffee on empty stomach, Carbonated drinks, Warm, soft foods are better.
5. When to seek urgent care- Vomiting blood, Black stools, Severe weight loss, Night pain waking you from sleep.
*This can be treated and cured, but only if the real cause is identified. Repeating antacids without testing will not solve it.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
