instruction: i have severe pain in my upper abdomen possibly because of an acid reflux and I cannot sleep after eating I feel a sudden pain in my upper abdomen or more specifically in the epigastric region last week I am surprised that even though I do not have any problem digesting milk or dairy products I got suddenly become lactose intolerant after drinking an sterilized milk I thought first it is just a common digestive problem so I take loperamide however after a few minutes I suddenly feel the symptoms of a heartburn so I take kremil is there is a home remedy that can lessen the pain
output: hello I am a family physician with icliniq and would be glad to try and answer your question thanks for all the information you gave about your question whenever you share with us a problem it is always helpful to the doctor when you give information like when the problem started it is location and severity other accompanying symptoms like diarrhea vomiting fever if you have had it before and what response there has been to treatment also it is important to know if a doctor has seen you for this problem in the past whether you smoke or drink and whether or not you have other medical problems for which you regularly take medicine there can be many reasons for upper abdominal chest pain in your age group I will list them for you as well as the most common treatments if none of these help you would need to contact us again with more information gastritis ulcer disease can cause severe pain and sometimes bleeding in the upper abdomen you might have dark stools feel dizzy from loss of blood or have lots of soreness to touch in your belly often patients do better when they stop taking any pain medicines like aspirin or ibuprofen which can irritate the stomach and use a proton pump inhibitor like omeprazole 20 my 30 minutes before breakfast every day for weeks some people use a 2 teaspoon of baking soda in a 120 my glass of warm water which can help but is not used regularly another problem is acid reflux it is very similar to gastritis but usually causes heartburn as the acid goes up into the esophagus in the chest it also responds well to omeprazole abdominal pain can come from stress which irritates the large intestine loperamide often will help that pain usually 4 my at a time when you feel the paint up to times a day a stomach and intestinal infection can cause pain it is usually accompanied by diarrhea and sometimes fever most stomach infections respond to loperamide and increasing your fluids gallbladder disease stones can cause intense pain especially after meals that are fatty this problem is best diagnosed by having an ultrasound done and seeing a surgeon pancreatitis is an inflammation of the pancreas which is often caused by drinking alcohol there is often very severe pain and vomiting patients can get better by stopping any alcohol and not eating for 2 days often they need to see the doctor lastly couid 19 the virus which is causing the pandemic worldwide can cause diarrhea fever and cough it is always wise to think about whether or not you have had contact with a patient who was diagnosed with the virus and consider getting tested as always any problem that is not getting better or is getting worse despite what you can do at home needs to be seen by a doctor hope this information is helpful to you