Hi The cause of your symptoms is dyspepsia and coonstipation. Medications along with dietary modifications can help you . Start taking Tab Neksium 40mg twice daily. Along with it folllow the below mentioned advice 1)The most important factor in curing constipation is a natural and simple diet. This should consist of unrefined food such as whole grain cereals, bran, honey and lentils; green leafy vegetables, like spinach, beans, lettuce, celery, asparagus, carrot. Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre sachets both contain the active ingredient ispaghula husk, which is a type of medicine called a bulk-forming laxative. Ispaghula is a type of fibre. It swells when it comes into contact with fluid in the gut and thus increases the volume of the faeces.It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass. -While sitting on the toilet, support the feet on a small stool in order to achieve a normal position that aids in bowel movement. - Avoiding alcohol and caffeine. -drink at least eight glasses of water daily. Water helps push the food through the intestines and also helps lubricate intestinal tissues. When the body is dehydrated, the intestines absorb the fluids from the food waste, which in turn leads to hardened stools. -Can take 10ml of lactulose every night for few days to soften stools. Follow up after a week. Thanks.