At this stage, the condition usually improves with short-term treatment and dietary care. You may take Pantoprazole 40 mg once daily in the morning before food for 10–14 days to reduce stomach acid. For nausea and vomiting sensation, Domperidone 10 mg before meals if needed can help. If there is gas or heaviness, a digestive enzyme or antacid syrup after meals may provide relief. During Ramadan, try to avoid very spicy, oily, fried, or acidic foods at iftar and suhoor, as these can worsen acidity. Break the fast with light foods such as dates and water, and avoid overeating immediately after fasting. Drink adequate water during non-fasting hours and include simple foods like rice, oats, bananas, curd, and soups which are gentler on the stomach. Caffeine, carbonated drinks, and late heavy meals should be minimized.

If the pain becomes severe, if you develop persistent vomiting, black stools, or if symptoms continue beyond 1–2 weeks despite medication, then a medical evaluation may be required to rule out gastritis, peptic ulcer disease, or severe reflux.

• Start an acid-reducing medicine such as Pantoprazole once daily before the pre-dawn meal (Suhoor). • If nausea is significant, a medicine like Domperidone may help reduce vomiting sensation. • During non-fasting hours, drink adequate water to prevent dehydration and reduce acidity. • If symptoms persist more than 5–7 days, consult a doctor to rule out conditions like **Peptic Ulcer Disease. If pain becomes severe, associated with repeated vomiting, black stools, or persistent fever, seek medical care urgently.

• Break your fast with light foods first (dates, soup, fruits) rather than spicy or oily meals. • Avoid tea, coffee, fried foods, and very spicy food at Iftar, as they increase stomach acid. • Eat smaller portions and chew slowly instead of a heavy meal at once. • Practice relaxation or breathing exercises, since anxiety and panic can worsen stomach symptoms. If you would like, you can also book an online consultation so I can review your symptoms in detail and guide you with a precise treatment plan that allows you to continue fasting comfortably and safely.

Diet & precautions: Avoid spicy, oily, and very acidic foods Avoid tea/coffee on empty stomach Eat small frequent meals Avoid alcohol and smoking Prefer warm, easily digestible foods

Need to be evaluated if symptoms persist for more than 1–2 weeks, severe pain, vomiting, or black stools occur.

Tab Pantoprazole 40 mg – once daily 30 minutes before suhoor (pre-dawn meal) • Syrup Sucralfate 10 ml – twice daily before meals (iftar and before sleep) • Tab Domperidone 10 mg – twice daily before meals if nausea persists

Break the fast with light food first (dates, soup, water) rather than heavy meals. • Avoid spicy, fried, and very oily foods at iftar. • Eat smaller portions instead of one large meal. • Avoid tea/coffee on empty stomach. • Drink adequate water between iftar and suhoor Contact me anytime on practo for further consultation