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Discomfort below right rib, gas, burning
I have been experiencing discomfort and mild pain in the upper right abdomen for the past six months, along with symptoms of gas and belching. Due to persistent symptoms, I underwent an endoscopy, which showed findings suggestive of gastritis. The impression was esophagitis with pangastritis, and testing indicated that I am positive for H. pylori infection. Additionally, I have also undergone an ultrasound, which showed Grade 1 fatty liver. Currently, I am on medication, and my doctor has advised starting a Pylo Kit for eradication of H. pylori. However, before initiating the Pylo Kit, I have been prescribed preliminary medication (Esomeprazole and other supportive drugs) to stabilize my condition. After completing this initial course, I will begin the Pylo Kit treatment as advised.
I have experienced some relief with medication, but I still do not feel complete comfort and continue to have intermittent symptoms.
Answers (13)
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for explaining your condition in detail. I understand your concern.
Based on your reports and history, your symptoms are due to a combination of:
• H. pylori associated gastritis and esophagitis
• Acidity related symptoms (belching, discomfort)
• Grade 1 fatty liver
The key issue here is H. pylori infection, which requires complete eradication therapy for long term relief.
⸻
What you should do now
• Continue the current medicines (PPI and supportive drugs) as advised
• Start the Pylo Kit exactly as prescribed and complete the full course
• Do not stop treatment midway even if symptoms improve
⸻
Lifestyle measures
• Avoid spicy, oily, and outside food
• Avoid alcohol and smoking
• Eat small frequent meals
• Do not lie down immediately after eating
⸻
Important points
• Mild symptoms may persist during treatment this is common
• Full relief usually occurs after completion of H. pylori eradication
• Fatty liver Grade 1 is reversible with diet and exercise
⸻
When to consult a doctor immediately
• If pain becomes severe
• If vomiting, weight loss, or black stools occur
• If no improvement after full treatment
⸻
Important reassurance
You are already on the correct line of treatment. Once H. pylori is eradicated, most of your symptoms will significantly improve.
⸻
For detailed follow up planning and diet guidance, you can reach out to me directly on
WhatsApp at 85271646 seven seven.
Wishing you a smooth recovery.
Dr. Romain Rajan
General Physician
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Continue medicine prescribed
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Continue medication as prescribed ,,and dietary modification like adding fibre (eating banana,papaya etc) probiotics such as curd,butter milk ,coconut water
Next Steps
exercise for atleast 15_20min/day
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Your symptoms are related to gastritis and h pylori infection.Normally h pylori eradication treatment include 2 weeks.You may feel better after completing the course.However gastritis may need prolonged usage of esomeprazol
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Need to ask more questions kindly consult
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Avoid spicy, oily, acidic , and caffeinated foods Eat smaller, more frequent meals than three large. Drink plenty of water Avoid lying down for at least 3 hours after eating
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Continue your medicine ,its take time because its pangastritis means all stomach is ulcerative due to H.pylori and sedentary lifestyles with dietary habits.you need to change your dietary habits also with medicine as well.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Tab. Norflox TZ twice a day
Econorm twice a day
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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