http://www.smartgroups.com/message/readmessage.cfm?gid=1423922&messageid=1334 From your description I would suspect gastric ulcers and not esophageal reflux problems. Since Luigi has not responded to just an antacid (Pepcid) then it is time to add an antibiotic (Biaxin, +/- amoxicillin) and Carafate to the treatment protocol. An easy to digest bland food such as Hill's a/d or Gerber's baby food (chicken or turkey) will also help. Some times it can take a long time for an ulcer to heal (4-8 weeks). Hope that helps, Jerry Murray, DVM Dallas, Texas [Posted in FML issue 3898]