Hello.
Thank you for asking at HCM.
I went through your daughter's history.
From your history, I would first think of
chronic gastritis or gastro-esophageal reflux disease. I would like to make suggestions to you as follows:
1. If she has never been tested for food allergies, I would suggest testing for food allergies, especially, milk, peanut, wheat, soy, eggs, tree nuts, fish, shell fish. She needs not to be tested for all the foods above, choose the foods she is normally/frequently eating. Food allergies, especially milk
protein allergy, can cause chronic gastritis.
It important to know that milk protein allergy is not same as
lactose intolerance. One has to avoid milk and all milk products in milk protein allergy.
2. For treatment, I would suggest her a 6-8 weeks course of antacids like
omeprazole or
pantoprazole before each meal.
It is important to remember that she should take continuously for minimum 6 weeks even she is free of symptoms as complete healing of inner lining of stomach/esophagus takes 4-6 weeks.
3. If she has to take frequent pain relievers, I would suggest to prefer
paracetamol to all other pain medications. All other medications like ibuprofen,
diclofenac, mafenamic are notorious to cause gastritis. Paracetamol is considered the safest among pain medications in terms of gastritis.
4. I would also suggest her to avoid hot & spicy foods as well as caffeinated beverages. A soft, bland diet is would be the best.
5. If she does not improve with above measures, I would think of H.pylori infection and treat her with appropriate antibiotics after necessary tests.
Hope above point will be useful to you.
Wish your daughter a quick recovery and the best of the health.
Should you have any further query, please feel free to ask at HCM.
Thank you & Regards.