Since standard acid-reducing medications and antacids have not provided relief, your symptoms may point to functional dyspepsia or hypersensitive gut nerves. You should discuss the following options with your doctor:\n\n1. **H. pylori Testing:** To rule out a bacterial infection that requires specific antibiotics.\n2. **Upper Endoscopy:** To directly visualize the stomach lining, as ultrasounds cannot see inside the stomach.\n3. **Neuromodulators:** Low-dose tricyclic antidepressants (like amitriptyline) can help desensitize hyperactive stomach nerves.\n4. **Prokinetics:** Medications like levosulpiride or itopride to improve stomach emptying.\n\nThese conditions are very common and highly manageable. Your doctor can help tailor these options to find relief.