Hi Doctor, I have kind of discomfort below my ribs on upper right side after few hours of meals. No discomfort from night to noon. ideally it starts around 4 PM and continuos till 7-8PM. I will have breakfast at around 9AM, Lunch at 1
All your above symptoms indicate that you are suffering from acid reflux disease. But before I could tell anything about the treatment, I would first suggest you to get an ECG to rule out any cardiac cause, although it is unlikely. I would have prescribed my patient initially pantoprazole 40\u00a0mg once daily for 7-10days 20 minutes before dinner. And most importantly I would rather strictly advice on lifestyle modifications like - Cutting down on smoking as it is a risk factor for both gastritis and cardio vascular diseases - Cutting down on alcohol as it also increases the risk of gastritis - Routine physical exercise Lifestyle modifications will go a long way in your present condition and also helps you in the long run.