instruction: hi doctor I am 51 years old with a complaint of bloating loose stools burning sensation in the abdomen 15 years back I managed two years without medicine I was advised to use rabeprazole to which my symptoms subsided a little bit from then I cannot tolerate spicy foods fruits caffeinated drinks and curd if I take these foods my stomach starts bloating with loose stools burning sensation in the abdomen at times I get pains in the hands and feet burning sensation and pain in the back of the head and breathlessness these symptoms subside by passing flats and belching and on using medication I was evaluated and diagnosed as a case of is I am uploading my complete details please find attachment
output: hi I reviewed all your medical reports and I can say as follows first of all you need to be examined with upper endoscopy and colonoscopy plus abdominal ultrasound your symptoms may be related with herd and hiatal hernia or gastritis stomach ulcer in the meantime I would suggest using pi proton pump inhibitors and antacid to improve your symptoms after completing the exams mentioned above I will give you a more accurate opinion regarding your possible diagnosis