first of all before talking your issue i would have been more comfortable if i knew your name , age, gender, ethnicity etc all the basic things which might look noting to you but they are useful in management, any how lets discuss the possibilities
A) energy drinks have a lot of caffeine and other gastric stimulants which predispose to ulcers. so have your color of stool changed like dark black etc? did you vomit blood in vomitus, is your blood pressure ok? if yes then it might be the ulcer but not the bleeding one. So all you need to do is stop taking energey drinks, alcohol, smoking etc along with all the list of things which have a bad influence on stomach and duodenums health.
i advise cold milk with avoidance of hot beverages, and use some medications
1. any proton pump
) or any h2 blocker like cimetidine
if pain is restricted to nights only. i prefer former for 14 days one daily an hour before the meal or 3 hours after the meal
2. take antibiotic clarithromycin
with amoxicilline for 10 to 14 days too.
B) you said pain on breathing. well that thing is a sign that your pancrease or gall blader might be involved too.. does the pain radiates to your shoulder? or the back? Do 2 things
1) an ultrasound abdomen and pelvis with plain digital film to rule out these two involvements
2) serum amylase, urinary amylase, amylase to lipase ratio to assess the pancrease status..
C) your tremors. they will resolve once the stimulant leaves your body system it is because of excessive stimulation of your sympathetic system (flight or fight or fright response system). No worries about that presuming you are young and out of co morbidities
But i believe you will be fine.. to understand better about your medication google tripple therapy for gastric H pylori ulcers and you will understand better.
if you need me you know how to get to me. I will be there for you.
Dr Shafi Ullah Khan
My Patient is my family