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When was your last period? Is there any history of heart disease or blood clots on the lungs in the past? Sounds dyspeptic and could be acid reflux or gallstones. Please be examined by your local doctor and have the following, 1. Gaviscon 2. If no relief from Gaviscon, try Omeprazole capsules 20mg once a day for a week 3. Have bloods tests for Liver functions tests and Amylase 4. Ultrasound scan of your abdomen. All the best. J G S R

Usg whole abdomen advisable.  Nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.  Flexon Mr two times a day after food for 3to5 days.

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Hard to say like that. Can be gall bladder, can be hyperacidity, can be stomach ulcers, can be musculoskeletal. Kindly consult with me on 94 two six 86 seven eight 96.

Does symptom increases after food or after 2 hrs?? Kindly consult for more

Can help but Need more history Kindly consult on 9three28010077 for appointment Text/audio/ video consultation available

Need few more details Kindly consult

Its due to indigestion

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Your pain pattern suggests musculoskeletal issue, possibly related to gallbladder or referred pain: **Differential Diagnosis:** 1. **Gallbladder pain:** Right upper quadrant, radiates to back - fits your description 2. **Gastritis/GERD:** Upper stomach pain, can radiate to chest/back 3. **Musculoskeletal:** Intercostal muscle strain, rib pain 4. **Pancreatitis:** Upper abdominal pain radiating to back 5. **Cardiac:** Less likely in 30yr female but needs exclusion **Immediate Steps:** 1. Ultrasound abdomen (check gallbladder, pancreas) 2. ECG to rule out cardiac cause 3. Complete blood count, liver function tests, lipase 4. Try antacid (pantoprazole 40mg before breakfast) **Management:** - Avoid fatty, spicy foods - Small frequent meals - Pain relief: paracetamol, antispasmodics (drotaverine) - If gallstone confirmed, may need surgical consultation Since Pantoprazole D didn't help, gallbladder pathology more likely than acid reflux. Get ultrasound urgently.

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