Brief Answer:
Dyspepsia and indigestion.

Detailed Answer:
Hello and thank you for choosing HealthcareMagic for your query,

I've gone through all your details and appreciate your concern.

Most likely, the problem you are having is called Dyspepsia.

Dyspepsia, in layman's language is known as indigestion. It is a term that describes discomfort or pain in the upper abdomen. However, it's not a disease in itself. Dyspepsia is a group of symptoms which often include bloating, nausea and heartburn.

As the onset in your case is acute. Most likely cause of indigestion is due to either overeating or taking over oily or fatty food. Anxiety or intake of alcohol or aerated beverages can also cause the symptoms.Bloating and acid can be caused by any kind of food. In most of the cases, it's fatty foods which cause these symptoms. Any food whether it's fat or protein or complex carbohydrate when can not be properly digested, releases large amount of gases like hydrogen, methane, carbon dioxide which causes burping.

As ultra sound abdomen should be done.
Take a proton pump inhibitor like Esomeprazole 40 mg twice daily along with a prokinetic drug (eg.Domperidone) for 3 days. This will provide you symptomatic relief from symptoms of dyspepsia (you may need to obtain prescription for this from your local physician).

Antacid like Pepto bismol can be taken for few days along with it.
Any over counter probiotic should be taken for few days to provide relief in symptoms of indigestion.
If pain is spasmodic take an antispasmodic like dicyclomine once daily.
Apart from this, some dietary restrictions are to be followed-

- Avoid alcohol or smoking.
- No aerated beverages.
- Take light non spicy easily digestible food for few days.
- No Fast food like pizza or burger should be taken.
- Drink a cup of cold milk daily.
- Avoid fatty foods.

If not relieved in 5 days, an endoscopy may be planned to rule out any peptic ulcers or H.pylori infection(Very unlikely) after visiting your Physician.
.
Hope I've answered your query.
Feel free to ask any follow up questions.

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Brief Answer:
It's a diagnosis of exclusion.

Detailed Answer:
Hello again Dear,
Dyspepsia is a diagnosis of exclusion which means that a gastroenterologist will do tests to rule out cause of other problems presenting with same symptoms (like endoscopy was done to rule out ulcers,CTwas done to rule out carcinoma) and when everything is ok patient is treated for dyspepsia and indigestion.

There are no specific tests to diagnose them.
I have expaline the pathology of your problem above.
Please pen down all medication you have tried till date with doses and for how long.

Waiting.

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Brief Answer:
Follow up answer

Detailed Answer:
Hi again,
For abdominal fullness start taking acotiamide 100mg thrice daily (In various trails Acotiamide treatment significantly improved abdominal fullness and early satiety in 4 weeks treatment in patients compared to those in pretreatment acotiamide treatment improved lower abdominal symptoms also).

For Burping Take Nexium 40 mg twice daily empty stomach with a prokinetic drug like Levosulpiride.
Take a good OTC probiotic containing lactobacillus spores twice daily for 21 days.


Dicyclomine 10 mg every 8hrs
Librax 1 capsule TID they are both vasically use in patient with irritable bowel syndome. They are meant to provide relief in spasmodic pain. So continue them(On a scale of 1-10 was your pain relieve after taking these two medicines).

Follow all dietary advices given by me in first reply.

Tell me how you feel after 2 weeks.

Regards.

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Brief Answer:
Follow up answer.

Detailed Answer:
Please add the medications and follow up after 2 weeks. I hope that on a scale of 10 things should get better to 6-7 in two weeks time.

Wish you fast recovery and good luck.

Thanks.

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