What are my next treatment options for constant bloating, alternating constipation, and trapped acid pressure in my stomach and back caused by severe stomach lining irritation (erosive gastritis), since diet changes and medications like Nexpro HP kit, refaximin 400mg, sucralfate syrup, Librotryp, Peg Fiber, Medigas 140, and Pentocid IT have failed to provide relief?
I?m so sorry you are dealing with this persistent discomfort. Since standard treatments like proton pump inhibitors, rifaximin, and motility agents haven't provided relief, the next step is a comprehensive reassessment with your gastroenterologist. We should consider further diagnostics, such as a repeat endoscopy, a gastric emptying study, or testing for food intolerances. Since you tried amitriptyline (in Librotryp), optimizing gut-brain neuromodulators might help manage visceral hypersensitivity and pain. Additionally, pelvic floor physical therapy or biofeedback could address the alternating constipation. Please don't lose hope; finding the right balance takes time, and we will work to get you feeling better.