Hi ! Good morning. I am Dr Shareef answering your query.
If I were your doctor, I would advise you to stop eating from outside if you do. Out side food might cause intestinal infections specially
amebiasis in some regions which might give rise to gaseous distension and pain abdomen. For this I would advise you for a routine
stool test for ova and cyst, and treat it if positive.
Next important advice would be to avoid alcoholic beverages, which might along with the spicy food cause trauma to the gastric and intestinal mucosa, apart from causing inflammation to the
pancreas and liver giving rise to your symptoms.
If I were your doctor, I would advise you for some routine investigations like a CBC, a blood sugar, blood urea,
serum creatinine, serum uric acid, an LFT, a serum amylase and lipase, and an
ultrasound of abdomen to see the status of intra-abdominal organs. In addition, I might refer you to a gastro enterologist for a possible endoscopic evaluation of your gastro intestinal tract to rule out the possibility of a
peptic ulcer resulting from spicy food and alcohol intake.
Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance smoking if you do in addition to avoidance of alcohol would go a long way to help you out.
Till then you could go for a
proton pump inhibitor along with an anti spasmodic drug for a symptomatic relief.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.