Hello and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

As such gastric erosions take a while (months) to fully heal. Its good that H pylori has been looked into by your doctor, which often is a challenging cause.

Now, as burning and constipation remains - you may need prolonged therapy of acid lowering drugs (that were 1 component of your H Pylori kit). The selection of drug would need a clinical evaluation. Constipation would need the treatment of the underlying cause which would most likely be due to improper digestion due to the erosions in your case. But, if any other cause needs confirmation with appropriate medical review.

Tongue coloration of light XXXXXX and coating most commonly may occur during infections involving the oral/respiratory region. This can be supported of the fact that your sharp ear pain is also being experienced. Another differential diagnosis needing ruling out is otitis media - an infection of the middle ear which is in close proximity to the upper respiratory/oral cavity. Sore throat also is another symptom indicating a possible upper respiratory tract infection.

Hence, I would suggest you need a clinical exam and be reviewed for appropriate antibiotics for the same. (The antibiotics given in the H Pylori kit are different and would not kill the bacteria if any for this infection.)

After proper treatment of above, also get reviewed for insomnia and depression - as constipation can also occur due to this. There are lots of new medications available which do not have any side effects. Your psychiatrist would be best to guide you on depression. Think about counseling too.

Let me know if I have missed out any other concern in your question.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.

Sincerely,

Dr Sujeet N Charugulla,
MBBS, MD.
Consultant Physician.

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XXXXXX

Thanks for your followup mail.

The pain you mentioned now, would ideally be associated with your gastric erosion initially which is in your history. So, I must assume it should be gone once erosions heal. Other differential diagnoses to debate upon can be many - but would need clinical examination. So, needn't worry much in this aspect.

A long term course of proton pump inhibitor drugs should do the trick of healing up erosions. Of course - dietary changes which you are taking is a must at least for 6 months or so. And in the long run take the help of a dietician to chart out a long term plan for diet as well.

Though gastric erosions are known to recur with aggravating factors, that need not mean it will recur once the course of above drugs is finished. Completing the course and compliance to physician's advice is vital to prevent recurrence.

Yes, an ENT surgeon or even a chest physician may be enough to review you for those related symptoms. I do not think you have a serious disease. Antibiotics should be enough to curtail any infection.

I would suggest you get reviewed rather than thinking repeatedly about your symptoms and thus getting scared without a big reason.

Wishing you best of health, and let me know if you need more help.

Sincerely,

Dr Sujeet N Charugulla,
MBBS, MD.
Consultant Physician.

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XXXXXX

Thanks for your reply.
Wish you best of health.

Sincerely,

Dr Sujeet N Charugulla,
MBBS, MD.
Consultant Physician.

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