Hello,
Thanks for sharing your symptoms. Based on your description — gastric discomfort progressing to stomach pain, followed by nausea and vomiting especially after meals — it seems likely you’re dealing with gastritis, possibly acid peptic disease or functional dyspepsia. Here are some suggestions:
Initial Advice:
1. Medication:
• Continue Pantoprazole-D (Pan D) once daily before breakfast for at least 10–14 days.
• You may add a prokinetic like Levosulpiride if available (consult in person for a prescription).
• If nausea persists, a short course of an anti-emetic like ondansetron can be helpful.
2. Dietary Measures:
• Eat bland, non-spicy, low-fat meals.
• Avoid coffee, tea, carbonated drinks, fried foods, and citrus.
• Eat smaller, frequent meals rather than large meals.
3. Lifestyle Tips:
• Do not lie down immediately after eating.
• Elevate the head end of your bed slightly.
• Reduce stress and anxiety (stress can worsen gastric symptoms).
When to Seek In-Person Care:
If your symptoms persist despite 10–14 days of the above regimen, or you develop:
• Severe or worsening abdominal pain
• Weight loss
• Blood in vomit or stools
• Persistent vomiting
Then further evaluation is necessary. You may need:
• Abdominal ultrasound
• Upper GI endoscopy
• Blood tests (CBC,
LFT, H. pylori testing)