Hello doctor, I have been suffering from stomach pain, gas, bloating, strange sounds in stomach, burping, indigestion, watery stools, always floating stools on the toilet commode since last year. Took several medications for it and of no use. Finally, I underwent endoscopy and colonoscopy last year and the doctor informed me that I have got fundal gastritis and LAX LESS. The doctor asked me to take 6 months of medication for it. For the first 3 months Motilium M 1-0-1before food, Pantodac 40 1-0-1 before food, Librax 0-0-1 after food 4k-Peg+ 3 hours after food. It is completed.
Hello. I can imagine the level of your frustration for your chronic unresolving symptoms. And I really feel sorry to hear that you been back and forth around doctors for solution of your symptoms. Well, I can very well understand your problem, I will explain to you point by point.  1. Lax LES (lower esophageal sphincter) is not a uncommon findings on endoscopy. It reflects that the valve which controls reflux from stomach to lower part of food pipe is little bit open. However, your endoscopy did not show any ulcer formation in the food pipe which suggest you do not have Gastroesophageal reflux (GERD). Again your symptoms are not related to GERD. It is something else. I tell in a moment.  2. So you see the fundal gastritis (inflammation of the fundus- a part of stomach). Usually inflammation of stomach confines to the other parts of stomach -like antrum and stomach body, but not to the fundus. The one cause of inflammation predominantly to the fundus suggest H pylori infection. This bug initially infect antrum of the stomach then it moves to fundus if chronic infection that has not been treated. I will suggest you investigation before I suggest you an antibiotic course of this H pylori. And remember this H pylori can cause stomach slowing leading to your symptoms of gas. The condition is called gastroparesis. Below I explain to you in more detail the reasons of your symptoms of gas.  3. To simplify the constellation of your symptoms, we doctors classify in to two- the predominant gaseous symptoms or predominantly pain symptoms. You have predominantly gaseous symptoms including bloating, sounds, burping, fullness, early satiety after meals, and some gas in stools as well.  So it is important you should understand why these gases production is in excess in you. The one such reason is: i) Dysbiosis-which is alteration of human gut bacteria more gas producing species. These bacteria or harmlessly present in the human gut, however; at times the environmental factors, food, water, other dietary habits; change the composition of these bacteria and turn them in to gas producing bacteria. I will give you an antibiotic for a 3 week duration, this will correct your dysbiosis. ii) The other reason is excessive of food intake that produces gases. These foods are collectively called as FODMAPs. These foods to be avoided as possible as you can. I will share with you a link where you will find the list of such foods which should be avoided. iii) Less common mechanism is feeling of normal amount of gases-this condition is called hypersensitive gut. For this I would suggest you behavioral therapy called diaphragmatic breathing. I will share you the link how you can exercise it at your home.  I really hope now you would the some idea of mechanism causing your chronic unresolving symptoms. I would just correct your above mentioned mechanism, and you would see the things get improved for you. Please find below treatment plan, and I want you should update me about your symptoms in coming 2 weeks time. Secondly, I also want to suggest you some investigations as we can exclude any other possibility and treat the things accordingly. Dysbiosis Functional bloating and gas H pylori infection Overweight Complete blood count TSH, FT3, FT4 Liver function tests Anti TTg IgA and IgG fasting sugar level fasting lipid profile Stool for H pylori antigen Stool for Giardiasis antigen Stool for Fecal calprotectin stool for ova and parasites Stool for Fat globules and reducing substance Capsule Rifaximin 200 mg thrice daily for 3 weeks. This is for dysbiosis Avoid FODMAPs Diet. Diaphragmatic breathing. Tab Digestine (Metoclopramide) 40 mg half hour before meals. You can stop the Motilitum. You can continue with Pantodac. You should stop PEG 4k. You can continue with Librax but increase the dose to one tablet twice daily after meals. Avoid FODMAPs. I really hope that your symptoms will improve in coming 2 weeks times, till then you get some tests and revert back to me. In the end of treatment course, I would consider giving you another class of medication that you take for life long.