Your bilirubin levels have improved so significantly, showing your liver is recovering well from hepatitis A. However, your new abdominal pain after eating, especially with a history of a thickened gallbladder wall, suggests a gallbladder issue like inflammation (cholecystitis) or gallstones. Because eating triggers gallbladder contractions, this can cause sharp pain. To find the exact cause, I highly recommend consulting your doctor promptly for a repeat abdominal ultrasound and updated blood tests. Please seek immediate medical care if you develop a fever, chills, or if the pain becomes unbearable.

Looking at your medications, Nexpro (esomeprazole) and Pan-D (pantoprazole/domperidone) are both acid reducers; taking both may be unnecessary duplication. Generally, Nexpro or Pan-D is taken 30 minutes before breakfast. Vizilac (probiotics) can be taken with breakfast. Gaviscon is usually taken after meals or at bedtime as needed. Since these haven't improved your appetite, I strongly recommend consulting your doctor before switching treatments. They can safely adjust your regimen and investigate the underlying cause of your appetite loss.

It is very common to feel uneasy when recovering from digestive distress, especially after stopping unregulated herbal powders, which can sometimes irritate the gut. Your doctor?s prescription is well-targeted: Nexpro RD 40 (esomeprazole and domperidone) reduces acid and eases nausea and gas, while the other medications address potential infection and help regulate gut-brain sensitivity. Digestive healing takes time, and it may take a couple of weeks to feel full relief. Please continue taking your medications as directed, stay well-hydrated, and keep your doctor informed of your progress so they can support your ongoing recovery.

While an MRI is a wonderful tool that avoids radiation, neither an MRI nor a CT scan can clearly show mild stomach irritation, redness, or swelling. These imaging tests look at deeper structures rather than the delicate inner lining of your stomach. An endoscopy (scope) remains the gold standard for seeing mucosal irritation. Please be reassured that your Nexpro RD (esomeprazole/domperidone) is actively working to soothe and heal your stomach lining. I recommend sharing your current symptoms with your doctor to guide your next steps safely.

With proton pump inhibitors, duodenal ulcers typically heal in 4 weeks, while esophageal ulcers can take 4 to 8 weeks. Persistent symptoms like occasional vomiting and dark stools can sometimes indicate ongoing irritation or possible bleeding. While this sounds concerning, it is highly treatable. I gently encourage you to contact your doctor or visit an urgent care clinic promptly to have this checked out. They can easily evaluate this and adjust your treatment to ensure you heal safely and comfortably.

Acid reflux is usually a long-term condition and may not be completely curable. Its long-term effects can include oesophageal inflammation, ulcers, narrowing of the oesophagus, Barrett's oesophagus, and an increased risk of oesophageal cancer. Even with medication, symptoms may persist if the underlying causes remain untreated.