instruction: hello doctor I am a 27 year old female I had a history of on and off acid reflux for a few years last month I had a bad episode of herd and was prescribed pantoprazole for a month it got better and I stopped taking pantoprazole but I still have epigastric pain on and off I had an upper endoscopy last week where the findings were all normal except for erythema atrophy of tantrum no more obvious acid reflux signs though but epigastric pain still comes and goes I was prescribed hyoscyamine but not sure why what does erythema atrophy of tantrum mean and why do you think I was prescribed hyoscyamine I have not had biopsy results from endoscopy yet but I am hoping and praying for the best
output: hello your symptoms likely from your stomach atrophy and erythema mean there is inflammation might be from a bacterial infection helicobacter which we have to wait for the biopsy result then to be treated with triple therapy hyoscyamine drug for intestinal cramps help alleviating pain from cramps also decrease the acidity in the stomach to be honest we rarely use it for stomach pi proton pump inhibitors like pantoprazole usually are better with stomach inflammation and decreasing its acidity for now we have to avoid smoking drinking and spicy food the could irritate the stomach more avoid eating before sleep at least three to four hours wait for the biopsy another thing if pain persists I recommend to repeat the ultrasound we need to see what is going on with your gallbladder