This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
All these changes can cause persistent acid reflux symptoms.
Gastritis means inflammation of the stomach lining.
H pylori infection should be ruled out.
Tortuous duodenopathy can be caused by the congenital issues.
Small hiatal hernia means part of stomach pushing into the chest cavity which can cause improper relaxation od esophagus.
It was my pleasure to help you today.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for asking further questions!
This is the link to my profile: