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Alright, here's the deal. I'm being test for h-pylori for a second time since my doctor wants to make 100% sure that it is indeed negative. Was tested a month ago via stool test and then tested via biospy, both negative. Both times I was on a PPI, so now he wants me off the PPI and get retested.
My first question, the EGD showed a pretty nasty case of gastritis, but been on a PPI over a year. However, I didn't change my diet AT ALL. Can gastritis heal if you don't change your diet or do you have to change it?
Second question, I know being a PPI long-term has some side effects, so if I'm able to successfully come off the PPI, is a PPI necessary to heal gastritis or can you accomplish that through a very clean diet? Doctor gave me some samples of Dexilant because my current PPI (Protonix) has become ineffective. Started having problems with it every since I tried to lower my dosage and changing the medication to Prevacid. Could never get it to work like it once did before again.
Third question, after these two weeks are up and I get tested for h-pylori, should I consider taking the Dexilant and try to get this gastritis healed? Most cases of gastritis heal within a couple of months, but mine may take some time. I'm worried by not taking a PPI it may take even longer. If I'm able to get off my current PPI, I should be able to get off Dexilant without too many problems.
Final question, the first few days being off the PPI were alright, a little heartburn. But the past few days and I've experienced a lot of burning in my stomach, but it seems to peak at the same time every night. Looking back, it happens when I normally would eat my heaviest and fattiest meal of the day. After doing some research, the theory I came across is that over time being on the PPI (one year), my body became accustomed to having to work extra hard to produce the necessary stomach acid to digest that large meal. Now that I'm off the PPI and eating very strict (fruits & vegatables & lean meats) my stomach still thinks it needs to produce that extra acid to digest the big meal that's soon about to come. But since I'm eating lightly and stomach friendly food, the acid doesn't have anywhere to go and ends up sitting in my stomach irritating my gastritis. Is that theory possible? I've found that Carafate and Gaviscon helps very much, but I'm trying to stay away from the antacids as much as I can until after my h-pylori test.
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