My mother aged 64 was suspected to have Barrets oesophagus following endoscopy and fnac 1 year ago. Doctor advised diet revision and acid suppressing ppi drug for 6 months. The follow up check up revealed that there is no barrets. The reason for doing first test was burning sensation while having spicy food. Those symptoms have reduced. However she seems to have less hunger and does not feel like having rice like before. Discontinued ppi drug after the 2nd checkup being aware of its side effects even if doctor said it's ok to continue the same. Before the first checkup my mom used to take clopivas 70 (clopidogrel) for 7 years as advised by a heart specialist. Dyspepsia being its side effects stopped it since then. Happened to go through research journals stating that the reason for acid reflux is not excess acid but rather reduced acid power resulting in less digestive power causing a push back of digestive enzymes and undigested food back up the oesophagus. If thats the case will not ppi drug make the issue worse? Her less hunger could be a reason supporting the same? There is no reduction in her weight apart from the initial drop. Should she undergo a follow up checkup? What are the diet recommendations and follow up checkups advised?