What are the recommended medical evaluation and treatment steps for chronic, worsening gastroesophageal symptoms?including severe abdominal uneasiness, bloating, frequent burping, nausea, and chest pain triggered by spicy foods?that persist despite the use of pantoprazole and domperidone?
Since your symptoms are persisting and worsening, the next step is to consult a gastroenterologist for a comprehensive evaluation. They may recommend an upper endoscopy to safely examine your stomach and esophagus for inflammation, ulcers, or an infection like H. pylori. In the meantime, try eating smaller, more frequent meals, avoiding spicy or greasy triggers, and staying upright for at least two hours after eating.