Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a physical examination by your treating Doctor [Gastro] and do few investigations like [Stool occult blood test, Breath test, and endoscopy] to confirm. 2)Regarding prescription medications discuss with your Doctor about [clarithromycin, metronidazole and pantoprazole] and add [sucralfate]. Do follow lifestyle modifications like this - 1)You can take steps to protect yourself from infections, by frequently washing your hands with soap and water and by eating foods that have been cooked completely. 2)Use caution with pain relievers. If you regularly use pain relievers that increase your risk of peptic ulcer, take steps to reduce your risk of stomach problems. For instance, take your medication with meals. Discuss with your doctor to find the lowest dose possible that still gives you pain relief. Avoid drinking alcohol when taking your medication, since the two can combine to increase your risk of stomach upset. Hope that helps