<s>[INST] Dr. Can i have question to ask? .I have gastric, especially when after eat. My pain is cramp, n i suffering pain till feel dizziness. I go specialist check, have endoscopy. In scop, dr say i have GERD and h.pylori bacteria. So dr give me medication of nexium, gaviscon, and 2 type antibiotic(klacid). But seem no recover, still same situation happen. I when back see the dr, he advice me take 1 month nexium.But just few days when on, I suffer pain till non stop,is continuely especially is nite time. Until cant sleep because stomach is cramp. I meet back the dr., so the dr do ultrasound for my abdomen. But seem nothing. What should be happen?i suffering pain, is continue pain non stop. I be given another medicine, pariet 20mg, buscapon and gaviscon. but seem not work..What should happen with me??May dr give some opinion. I will be suspect stomach cancer? Latesly my dad also get stomach cancer, but when we know is too late. is already spread to his whole bone. So he pass away. My percentage should be high or not? What test i need to do?? [/INST] Hi. Thanks for your query and detailed history. This does not look like a stomach cancer as the cancer is painless to start and secondly endoscopy would have shown it; so forget about it.  Another reason can be severe gastritis which takes time to heal, and it looks you need more than the Medium, Davison, Placid, Part 20 and Tuscan. I would advise you the following in such a situation that a diagnosed case of HERD and H Pylori infection is still causing symptoms in spite of the treatment.-Continue the medicines.-Request for additional Risperidone and a medicine for anxiety and / or stress. -Soft bland and small and frequent feeds. No outside foods and beverages. You can take off from the job or duty till you are recovered well. -Take a second opinion if required.-Investigations of the blood, particularly Liver function tests, amylase and lipase for pancreas, other tests of urine and stool. -CT scan of the abdomen is a must to rule out the problems of gall bladder stones and infection / pancreatitis / cancer as you are thinking of and so on. -Further treatment as per the investigations reports and clinical judgement of the Gastroenterologist </s>