instruction: hello sir I am having pain in apegastric region since months but today very high I had taken acidity tablet and antacid syearap whenever I take medicine I feel better for short period of time after that it as usually paining me what should I do
output: hello it has been very difficulty to see medical advise in this time I appreciate you of using this platform for your medical queries from your history it seems the pain secondary to hypersecretion of acid however there are many other reasons of upper abdominal pain that may not be related with just high acid secretion it is of utmost importance to get some blood and stool test before jumping to treat with medicines also the duration of pain you describe is somewhat worrisome for now I want you take cap esomprazole 40 my before breakfast once daily spy gaviscon mylanta or any available antacid spy but make sure you increase the dose you should take 15 my four times daily just 30 min after meals it is important that you should take capsule before meals and antacid spy after meals I also want if you can get these test before your second visit since we need to rule out any serious thing if present serum amylase and serum lipase liver function tests ash serum lactic acid and stool for pyloric antigen univestigated dyspepsia functional dyspepsia peptic ulcer disease pancreatic cause go pathology I would like to see you in week time