Epigastric bloating cramps curable

Question

Asked for Male, 42 Years

Hello Dr I have epigastric cramps bloating from many years. Tested endoscopy colonoscopy in September 2025 which detected h pylori, erosive pangastritis, small hernia. Gallbladder operated in 2019. H pylori medicine taken for 14 days. And continued medicines for erosive gastritis from 30 days. Currently continuing dexlansoprazole 60 & cizaspa x once a day with strict healthy light food anti inflammatory diet. But still there is epigastric bloating cramps & bowel movement 3 times per day. 60-70% relief. But iam in still confusion with epigastric cramps bloating. Can I do test whole abdomen cect with iv fluid which was earlier recommended by another gastroenterologist in April but I had not tested. Iam in confusion. Is this because of small hernia or any other condition. To whom I will consult gi surgeon or gastroentrologist & psychiatrist. Endoscopy prescription attached.

Answers (1)

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Dr. Dhruv Sharma GastroIntestinal Surgeon 10 yrs exp Lucknow Consult Now · Accepted Answer

Dr. Dhruv Sharma

GastroIntestinal Surgeon 10 yrs exp Lucknow

Consult Now

The symptoms you are suffering from are mostly functional and a psychiatrist or psychologist opinion may be valuable to find underlying stressors. Some sort of Tricyclic antidepressants may help you because of their effect on the nervous system of the gut and help your symptoms for which you will need a prescription. CECT thorax with upper abdomen can help evaluate the extent of the hiatal hernia and help determine a need for surgery.

Next Steps

You can get further evaluation done but try and relax and learn to ignore these symptoms as normal. Investigations might not find any cause which can be corrected with surgery, even if we confirm something like the hiatal hernia, the symptoms are atypical and might not resolve with surgery.

Health Tips

Your BMI is also on the higher side and daily exercise and losing weight might also help with the symptom relief. Besides don't lie down for around an hour after a meal and sleep in a propped up position.

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