Hello,
* There can be various possible issues as drug-resistant ulcer,
atrophic gastritis, secondary to stress-related issues or else.
* In my clinic, I recommend following
- second-line therapy with
proton pump inhibitor as
omeprazole antacid syrup containing aluminum hydroxide with oxetacaine
- dietary measures to avoid spices, non-veg stuff
- regular exercises, walking
- control of blood sugar,
cholesterol, weight
- avoid stress, anxiety
- sound regular sleep of 7 hours
* Consult later your gastro specialist as per the need.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Bhagyesh V. Patel, General Surgeon