I have pain in the epigastric region for three months. What should I do?

Question

Hi doctor,

I am having pain in my epigastric region for three months. But today it was very high. I am taking an antacid tablet and syrup. I feel better after taking it for a short period of time and after that, I started to have the same pain.

What to do?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

From your history, you seem to have pain secondary to hypersecretion of acid. You seem to have uninvestigated dyspepsia.

There are many other reasons to have upper abdominal pain.

Do blood and stool test before taking medicines. For now, you can take capsule c mg (proton pump inhibitor) before breakfast once daily. Take syrup Gaviscon 15 ml (antacid) four times daily after 30 minutes of taking food.

You need to do other tests such as serum amylase, serum lipase, liver function test, TSH (thyroid-stimulating hormone), serum lactic acid, and stool for H.pylori (Helicobacter pylori) antigen.

I hope it helps.

Thank you.