Hi XXXXXX,
Welcome to XXXXXXX forum.

Let me know the associated symptoms along with mentioned.
Do you have acidic belching/ abdominal discomfort/ excessive flatulence/ gargling sound in abdomen/ abdominal bloating after taking meals?
Are you getting burning sensation in upper abdomen and retrosternal in location?

With the available described symptoms, there appears to be possibility of decreased gastrointestinal motility.
This could be due to upper gastrointestinal pathology or due to hormonal disorder such hypothyroidism and uncontrolled diabetes.

As such there is no correlation between somatic symptoms.
Peptic ulcer disease is caused by Helicobacter pylori bacteria and which may be in form of follicular gastritis, nodular gastritis, gastric and duodenal ulcer, and adenocarcinoma of stomach.

You should consult with XXXXXXX medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for ultrasound imaging, endoscopy and serum amylase and lipase, thyroid profile, blood sugar level, and nerve conduction studies of lower limbs.
You should also go for urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria.

Meanwhile, you should take proton pump inhibitors along with prokinetics for relief of your symptoms.
You should also take methylcobalamin, pregabalin /gabapentin.
You should avoid tomatoes, citrus fruits, tea, coffee, chocolates and oily spicy foods.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava


Meanwhile,

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