What are the recommended treatment options for a 32-year-old who has suffered for a year and a half from long-term stomach inflammation with painful sores (chronic erosive gastritis) and inflammation of the upper small intestine (duodenitis), causing upper stomach pain and severe pain when hungry, despite following a strict diet and trying multiple medications including Pantoprazole, Sompraz 40, Deltone, Eldicet, and H. pylori treatments with Amoxicillin, Clarithromycin, and Esomeprazole?
I am so sorry you are dealing with this ongoing pain. Since you have tried several proton pump inhibitors like pantoprazole, Sompraz, and Deltone, as well as H. pylori therapy, the next crucial step is to confirm if the H. pylori infection was successfully eradicated using a breath or stool test. Sometimes, resistant strains require a different salvage therapy. Since hunger worsens your pain, mucosal protectants like sucralfate might help coat and heal the sores. I highly recommend consulting your gastroenterologist for a repeat endoscopy or to rule out other causes like bile reflux. Please hang in there; we will find a solution.