Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a physical exam by your treating Doctor and to confirm it do Endoscopy. 2)Discuss with your treating Doctor about [metronidazole+clarithromycin+pantoprazole] To prevent it follow few lifestyle modifications like this- 1)Remove Irritating Foods from Your Diet 2)Consume More Beneficial Nutrients and take one multivitamin regularly. 3)Eliminate or Lower Use of Over-the-Counter Drugs like painkillers 4)Lower Inflammation through exercise and controlling Stress. 5)Wash your hands before eating [Use hand sanitizer] 6)Try to avoid alcohol and smoking Hope that helps