Hello, Indicates underlying gastritis, duodenitis or gastric/duodenal ulcer most likely gall bladder, liver conditions in other cases. Best way to diagnose it with ultrasound of abdomen and pelvis, upper GI endoscopy. Salient guidelines for faster recovery: • Consume more liquids at intervals • Take small amount of soft, light diet at specific intervals • Avoid prolong fasting/overeating • Avoid all oily, spicy, non-vegetarian, and junk foods • Avoid smoking, alcohol • Keep foot end of the bed elevated for 30 degrees when resting • In our clinic, we recommend combination therapy with proton pump inhibitor and Domperidone (if no drug reaction history) to be taken. Morning and evening empty stomach with sips of water 1 hour before breakfast and dinner, antacid syrups. • Avoid stress/anxiety • Have regular sound sleep of 7 to 8 hours Wish you good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel