<human>: I have full thyroductemy done for papilary carcinoma a year ago and there is a regular checkup every six months and every thing is normal, I take a dose of 200mg eltroxin every morning Pan 40 once a day and gemcal twice a day regularly. If I dont take Pan 40 once I get hyper acidity problem, Now for the few months I am facing problem of Piles, hyper acidity and rough tounge. please advice me what is the problem and how to correct it
<bot>: Hi, Long term acidity problems or gastritis can occur due Helicobacter pylori infection. It is a bacterium which can grow in the acidic environment of gastric area and cause inflammation, ulcers. This bacterial infection can be controlled by multi- Chat Doctor.  Urea breath test and antibodies in blood can help in diagnosing the condition. Gastric endoscopy may also be required. Take care. Hope I have answered your question. Let me know if I can assist you further. 