Since your symptoms have returned after treatment for Helicobacter pylori, you should first confirm if the infection is still present with a follow-up test. If positive, a different antibiotic combination may be needed. If negative, the problem is likely ongoing acidity or gastritis, which can be managed with acid-reducing medicines for some time. Long-term relief depends on lifestyle changes; avoid spicy and oily foods, reduce tea/coffee, eat small, regular meals, and avoid lying down after eating. Maintaining a healthy routine often plays a key role in permanent relief. If symptoms keep coming back despite treatment, your doctor may reassess with repeat tests or an endoscopy to rule out other causes. With proper follow-up, the condition can usually be well controlled and kept from recurring.