Hi
Your condition may be due to both Stress(Anxiety Disorder) and
Stomach ulcer rather Acid Peptic Disorder with or without H.Pylori Infection. If you are not getting relief managing your Stress, You can try medications like Histamine 2 receptors antagonists - Cimetidine, Ranitidine, Famotidine can be given in divided doses. Or Proton pump inhibitor - Omeprazole, pantoprazole, and
lansoprazole can be given in morning empty stomach.
Anticholinergic drug like probanthine tab or clinidium bromide alone with or without
chlordiazepoxide given 2- 3 times before food help to reduce pain. If no relief, H. pylori infection may be present, treatment is combinations of 2 antibiotics (e.g.
Clarithromycin, Amoxicillin,
Tetracycline,
Metronidazole) and 1 proton pump inhibitor (PPI), sometimes together with a bismuth compound. In complicated, treatment-resistant cases, 3 antibiotics (e.g. amoxicillin + clarithromycin + metronidazole) may be used together with a PPI and sometimes with bismuth compound. An effective first-line therapy for uncomplicated cases would be Amoxicillin + Metronidazole + Pantoprazole (a PPI). In the absence of H. pylori, long-term higher dose PPIs are often used. More over habit of smoking or using any form of tobacco preparations, cosumption of alcohol, tea, coffee, ifrequent use of analgesics for headache or body pain should be avoided.