### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
had an duodenal ulcer. ...trouble coming out of it.....it created some problems and chronic duodentis...been seeing GI(gastreoendocrenology) specialists for over 6months..... getting nowheere. they just keep throwing omeprozole and antacids at me...... did a an upper GI, blood urine and stool samples come up negative for bactereia....having some toruble and very uncomfortavle.....any suggestions to get the duodentis to go down and get normal bowels?

### output:

Hi, Duodenal ulcers that occur on the inside of the upper portion of your small intestine (duodenum). Usual treatment of duodenitis includes the following, depending on the other tests. Antibiotic medications to kill H. pyloriMedications that block acid production and promote healingMedications to reduce acid productionAntacids that neutralize stomach acidifications that protect the lining of your stomach and small intestine improving duodenitis might be due to the following reasons.1. Not taking medications according to directions.2. The fact that some types of H. pylori are resistant to antibiotics.3. Regular use of tobacco.4. Regular use of pain relievers that increase the risk of ulcers. If you do not have any of the above reasons causing persistent symptoms then you might need to be evaluated in detail for the following conditions.1. Extreme overproduction of stomach acid, such as occurs in Zollinger-Ellison syn Chat Doctor.  An infection other than H. pylori3. Intestinal neoplasms4. Other diseases that may cause ulcer-like sores in the stomach and small intestine, such as Crohn's disease