What causes chronic heartburn and a feeling of fullness?

Q. I have heartburn, and the upper part of my stomach is always hard. Why?

Answered by
Dr. Ajeet Kumar
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 03, 2020 and last reviewed on: Aug 21, 2023

Hi doctor,

I am 25 years old. I want to consult about my medical condition. Two years ago, I experienced stomach cramps and sometimes heartburn, and as the year passes, it has become worse. I experience heartburn, throat congestion, and the most uncomfortable feeling in my stomach's upper part is always hard under the ribs. I finished endoscopy last year, and the result was chronic gastritis, and I finished about 1 and 1/2 months of medication:

1. Pantopraz (Pantoprazole),

2. Natrapharm (Clarithromycin),

3. Amoxil (Amoxicillin),

4. Mucopro (Rebamipide),

5. Gastroaid.

But the feeling is still the same. This year twice, I underwent a T1, T4, TH, whole abdomen ultrasound, CT neck scan, CT chest scan, Abdomen CT scan, and all the results are fine except for a diffuse fatty liver. The doctor decided to give an Antacid (Pantotrazole), and Pronerve,Vitamin B1, B6, B12. However, I still experience the feeling of full, hard stomach upper part, heartburn, and sometimes hard to breathe. I also avoid so much food, sour, spicy food, milk, and fatty foods. Please help me with my condition. I suffered these years and also the time and money I spent is quite increasing.

Your help is essential. Thank you in advance.

Best regards.



Welcome you to icliniq.com.

  • Do you often get bloated?
  • And do your symptoms of pain in the stomach occur after you take meals?
  • How about your symptoms in the morning before breakfast? I mean, do your symptoms improve on fasting?

Your pain seems to be due to gas and bloating that causes you trouble. A possible explanation is foods that you eat produce lots of gases. Things you can do to prevent this and improve your symptoms is by avoiding foods that produce excessive gases, namely milk, peas, cereals, wheat, and other flour-based items. You should avoid it. Plus, you can start tablet Ondansetron 8 mg (antiemetic) thrice daily, half an hour before meals. I hope this medicine will improve your symptoms. Please update me about the symptoms in the next 48 to 72 hours.

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