1. Gastritis / Acid reflux (GERD):
Burning/gnawing pain, worse after meals, lying down, or spicy/oily food.
2. Peptic Ulcer Disease (Stomach/Duodenum):
Pain often relieved or worsened by food, may persist despite basic antacids.
3. Gallbladder issues (stones, inflammation):
Pain more to the right upper abdomen, may radiate to back/shoulder, sometimes with nausea after fatty meals.
4. Functional Dyspepsia:
Chronic indigestion without structural disease.
5. Other (less common at 25, but important if red flags):
Pancreatitis, liver issues, or even cardiac pain (rare at this age but should not be ignored).
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✅ What Should Be Done
Since 2 weeks of persistent symptoms despite medicine, she needs further evaluation:
Investigations:
Upper GI Endoscopy (to rule out gastritis/ulcer/GERD complications)
Ultrasound Abdomen (for gallbladder/liver/pancreas)
CBC, LFT, Lipase/Amylase (if severe pain or vomiting)
H. pylori test (common cause of chronic gastritis/ulcer)
Lifestyle Measures:
Eat small, frequent meals (avoid large gaps).
Avoid spicy, oily, fried foods, coffee, alcohol.
Don’t lie down immediately after meals.
Stress management (stress worsens gastritis/GERD).
Medications (after doctor review):
PPI (e.g. Pantoprazole/Omeprazole once daily before breakfast for 2–4 weeks).
If H. pylori positive → needs triple therapy.
Antacids/sucralfate for temporary relief.
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🚨 Red Flag Symptoms (need urgent medical review)
Vomiting blood / black stools
Severe unrelenting pain
Unexplained weight loss
Persistent vomiting or difficulty swallowing
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👉 In summary:
This is most likely gastritis/acid reflux or ulcer-related, but since it’s not improving with initial treatment, she must undergo further evaluation (endoscopy/ultrasound) rather than only repeating medicines.
Next Steps
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.
You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
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Nexpro RD40 ONE IN EMPTY STOMACH FOR ten. Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to 4times. Meftal spas ds two times a day after food.
ADVISE
USG WHOLE ABDOMEN.
if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
Hello,
I understand youâre worried, but try not to panic. Persistent upper stomach pain and indigestion that hasnât improved with medicines should be evaluated by a gastroenterologist to find the exact cause. Meanwhile, stick to light, non-spicy meals.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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