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My stomache hurts very bad. Sometimes I feel pukish and unable to eat
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General Health
Question #22893
207 days ago
436

My stomache hurts very bad. Sometimes I feel pukish and unable to eat

Sunit

Since few days I am unable to eat much food. My appetite has gone very bad. I am unable to have solid food. Only liquid food I am able to digest. Like dals and rice. But unable to have parantha, rotis. Even non veg I am unable to digest. This is happening to me from a week. Please help me with some medicine.

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Doctors' responses

sudden loss of appetite and difficulty tolerating solid foods while liquids and soft foods are easier to digest — most commonly suggest an acute gastric problem, such as gastritis, acid reflux, functional indigestion, or temporary stomach inflammation. This can happen due to stress, irregular meals, infection, or acidity.

This is usually not dangerous if it has been present for only one week, but it should be addressed to prevent weakness and weight loss.

Most likely causes:

Acute gastritis or acidity

Indigestion related to stress or irregular eating

Temporary gut irritation after a mild infection

Acid reflux causing early fullness

What you can do now:

Eat small, frequent meals

Prefer soft, bland foods (rice, dal, curd, banana, toast)

Avoid oily, spicy, fried, and non-veg foods for now

Avoid tea, coffee, alcohol, and smoking

Drink adequate fluids

Medicines that are commonly prescribed (consult a doctor before starting):

A proton pump inhibitor (to reduce acid)

A prokinetic/antacid combination to improve digestion

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Hello Sunita I’m sorry to hear that you’re having trouble with your appetite and digestion. It can be concerning when you can’t eat solid foods comfortably. However, I can’t provide specific medication recommendations without knowing more about your health history and current medications.

Here are some general suggestions: 1. Stay Hydrated: Make sure to drink plenty of fluids, like water, soups, or herbal teas. 2. Gentle Foods: Stick to easily digestible foods like khichdi, dal, and yogurt. You can also try smoothies or pureed fruits and vegetables. 3. Small Portions: Eating smaller, more frequent meals can sometimes help with digestion. 4. Avoid Spicy or Heavy Foods: These can irritate your stomach and make it harder to eat solid foods.

Rx- Cap Pantop dsr - once a day before breakfast for 5 days Tab Rifaximin 400 mg - once a day after food for 3 days

Thank you and get well soon

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Appetite loss and difficulty in digesting solid foods can have several causes, and it’s important to approach this with a cautious mindset. Given that you experience stomach pain, nausea, and digestive issues, a few conditions could be possibilities including gastritis, peptic ulcers, or even issues like an infection or gallbladder problems. To approach this safely, consider starting with a bland diet that’s easy on your stomach. Foods like plain rice, bananas, applesauce, and toast can often help when transitioning back to solids. Stay hydrated with clear fluids or oral rehydration solutions to make sure you’re not becoming dehydrated, especially if you’re losing fluids through vomiting. For over-the-counter relief, antacids might help manage acidity if it’s a primary factor, but it’s best to check with a healthcare provider for the appropriate type and dosage given your symptoms. It’s critical not to delay in seeking medical attention if symptoms persist or worsen, especially if you notice alarming symptoms like blood in vomit, black stools, or persistent severe pain, as these might require immediate medical care. For long-term management and resolution, visiting a healthcare provider to investigate the underlying cause is advisable. They might recommend blood tests, imaging, or endoscopy if they suspect something like an ulcer. Avoid NSAIDs pain relievers like ibuprofen, which can aggravate stomach lining, and monitor your symptoms closely. Always prioritize your safety by consulting a healthcare professional in face-to-face setting when dealing with ongoing stomach issues like these for targeted treatment.

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Hello

Your symptoms suggest acute gastritis / acid reflux / indigestion (very common after stress, infection, irregular meals).

Take a PPI: Pantoprazole 40 mg once daily, empty stomach (morning)

Antacid after meals if burning/nausea: Gelusil / Digene

For pukish feeling:tab Domperidone once daily

Eat small, soft meals only (rice, dal, curd, banana) Avoid spicy, oily, non-veg, tea/coffee, alcohol Drink warm water, don’t lie down after meals

Consult a doctor in person urgently if: Pain is severe or worsening Repeated vomiting Blood in vomit or black stools Weight loss or fever

If symptoms persist >7–10 days, you may need tests for H. pylori, ultrasound, or endoscopy.

I trust this helps Thank you!

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Hello dear See as per clinical history it seems combination of constipation along with gastric issue. There can be chances of ibs too. Iam suggesting some tests for confirmation. Please share the result with general physician medicine for better clarity Stomach USG Culture Lft Rft Esr CBC Colonoscopy if recommended by concerned physician. You can take following medication for improvement Tablet Omeprazole empty stomach 20 mg empty stomach Tablet cyclopam for gastric issue Trypsin enzyme twice a day for 5 days Aristo enzyme twice a day for 1 week Zincovit multivitamin therapy onca a day for 1 month Light meals like dal and rice temporary for 1 week Liv 52 for liver issues In case of no improvement consult general physician medicine for better clarity Regards

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Hello Sunit, thank you for sharing your concern. Here is my prescription for you-

- Cap. Pantop + DSR before breakfast once daily × 7 days. - Tab. Albendazole 400mg single dose. - Tab. Sporlac Plus twice daily × 7 days. - Tab. Aceclofenac + Drotaverine twice daily × 3 days. - Syp. Antacid 2tsp thrice a day. - Liquid Digestive Enzymes 10ml twice daily × 7 days.

Eat soft bland diet for a few days. Take daliya, khichdi, curd, rice and bananas.

Review after 7 days.

Regards, Dr. Nirav Jain Mbbs, D.Fam.Medicine

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This sounds like acute gastritis or acid reflux, where the stomach lining is irritated, making heavy or solid foods hard to tolerate. You may try a short course of antacid therapy (like a PPI or H2 blocker), eat small frequent meals, stick to soft foods (rice, dal, curd, banana), and avoid spicy, fried, tea/coffee, and non-veg for now. If this persists beyond 7–10 days, worsens, or you have weight loss, vomiting, or pain, please consult a gastroenterologist for proper evaluation and treatment.

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