Hi. Thanks for your query. Noted the history and understood your concerns. Pain in the abdomen in the early morning like hunger pains but there is no actual hunger right after breakfast indicate that there may be an element of gastritis. This can be diagnosed by the following: AN upper GI endoscopy should be done to get the exact cause so that a proper management can be done. Get started with a PPI like Pantoprazole. Antacids to be taken, particularly when you are on empty stomach. Soft bland diet and small frequent meals. It seams that anxiety and/or stress is taking a toll so get this controlled, change the lifestyle. Once Endoscopy is done you have to continue the treatment as per the findings till you are cured.