[22M] With severe digestive issues and persistent symptoms post-H. pylori treatment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Gastritis or Peptic Ulcer Disease: Your symptoms, such as upper abdominal pain, nausea, and relief after eating, could be related to gastritis or peptic ulcer disease. These conditions involve inflammation or sores in the stomach lining, often caused by H. pylori infection or prolonged use of NSAIDs. Although you were treated for H. pylori, it's possible that the stomach lining hasn't fully healed or that another factor is contributing to your symptoms.

   • Treatment typically involves continuing with proton pump inhibitors (PPIs) like Pantoprazole to reduce stomach acid and allow healing. In some cases, additional medications or lifestyle changes may be recommended.

2. Gastroesophageal Reflux Disease (GERD): The burning sensation and bad breath could be related to GERD, where stomach acid frequently flows back into the esophagus, causing irritation.

   • Treatment includes PPIs, lifestyle modifications such as avoiding trigger foods (like spicy and sugary foods), eating smaller meals, and not lying down immediately after eating.

3. Functional Dyspepsia: This is a common disorder that causes symptoms similar to yours, including upper abdominal pain and bloating, without an identifiable cause.

   • Management often involves dietary changes, stress management, and medications to reduce stomach acid or improve stomach motility.

The red spots in your stool could be due to minor bleeding from the stomach or intestines, possibly related to gastritis or ulcers. However, it's important to have this evaluated by a healthcare professional to rule out other causes.

What you can do

1. Continue with your current medication: Keep taking Pantoprazole as prescribed. It helps reduce stomach acid and can aid in healing.
2. Dietary adjustments: Avoid foods that trigger your symptoms, such as spicy and sugary foods. Eating smaller, more frequent meals may also help.
3. Lifestyle changes: Try to avoid lying down immediately after eating and elevate the head of your bed to reduce nighttime symptoms.
4. Symptom tracking: Use MDandMe to journal your symptoms, track your progress, and identify any patterns or triggers. This information can be valuable for your healthcare provider.
5. Stay hydrated: Drink plenty of water, but avoid carbonated beverages and caffeine, which can exacerbate symptoms.

What you should look out for

• Seek medical attention if:
  • You experience severe or worsening abdominal pain.
  • You notice a significant increase in the amount of blood in your stool.
  • You have unexplained weight loss or persistent vomiting.
  • Your symptoms do not improve with treatment or lifestyle changes.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.