HomeAnswersMedical Gastroenterologyepigastric painPlease suggest treatment for epigastric pain.

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Sneha Kannan

Published At May 5, 2020
Reviewed AtAugust 9, 2023

Patient's Query

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?

Answered by Dr. Ajeet Kumar

Hi,

Welcome to icliniq.com.

I understand your concern. From your history, you seem to have pain secondary to hypersecretion of acid. There are many other reasons to have upper abdominal pain. Do blood and stool test before taking medicines. For now, you can take capsule Esmoprazole 40 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.

The Probable causes

You seem to have uninvestigated dyspepsia.

Differential diagnosis

You can have functional dyspepsia, peptic ulcer disease, pancreatic cause, and GB (gall bladder) pathology.

Regarding follow up

Have a follow-up after a week.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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