Dear Milind, ulcer disease is a chronic disease which goes through different phases and each of these phases has specific treatment. First of all every patient with ulcer need to change his nutrition and lifestyle. This means you need to avoid stress (one of factors that increase incidence of ulcers) and specific food and drinks( coffee, alcohol, fats, fast food etc). But it seems like you ve already developed a serious type of ulcers, you are pretty young and it must be definitely treated in a right way. So second Line of Defense are medications. We usually use 3 of them (proton pump inhibitors, antacids and Ca channel blocators). Rabeprazole is proton pump inhibitor and one of most useful drugs BUT it s not the only one. Ask your doctor about antacids and Ranitidinum medicines or combination of them, it might be helpful. In modern medicne permanent pain can and must always be treated. You shouldnt suffer because there are more treatment methods... One of them is endoscopic treatment of ulcer, I dont know reason why your gastrologist didnt do this,i t is called terapeutic endoscopy... The last hope is a surgical treatment but I am not gonna decribe it :) If there will be need for it just call me:)