Further treatment for gastric erosions is required
Thanks for your query.
H.pylori infection may have been cured, but its deleterious effects- erosion of the inner lining of the stomach, duodenum and possibly intestine- still remain to be treated. Usually, a 10-14 days' course of anti-H.pylori therapy is prescribed, but may be extended to 3 weeks in indolent cases.
Further, long-term H.pylori infection
- alters the gut bacterial flora, whereby which, good bacteria get killed while the bad bacteria flourish;
- also affects absorption adversely, leading to vitamins and minerals
Hence, 3-4 months' regular course of the following drugs would be required for complete recovery of the affected intestine:-
* a Proton Pump
Inhibitor, such as, Rabeprazole
* A Probiotic, such as, Lactobacilli
* Additional supplements of Vitamin B12
) 1500mcg/day and Folic Acid
* Digestive enzymes
Further, your symptoms suggest that
(a) you are passing through chronic mental stress/anxiety with/without depression and,
(b) there is a possibility of underlying/concurrent and undiagnosed Irritable Bowel Syndrome
Incidentally, most of your persisting problems are due to either, ongoing anxiety with/without depression, IBS; or, overdose of Synthroid (leading to hyperthyroid state).
Hence, the following measures need urgent execution:-
- Modification of the dose of Klonopin and Melatonin is urgently required to effectively control anxiety/depression. Effective anti-anxiety therapy will attenuate IBS symptoms.
- Re-assessment of Blood thyroid hormone Profile. If the profile suggests hyperthyroid state, reduction of Synthroid dose is required, so as to maintain TSH levels between 1 and 2.
Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order relevant tests and prescribe suitable treatment as advised, depending on the tests' reports.
Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Col (Dr.) Rakesh Karanwal