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It’s understandable to be concerned about ongoing stomach pain, especially when initial tests and treatments haven’t resolved the issue. Abdominal pain with nausea could result from multiple causes, ranging from common issues like acid reflux, gastritis, or a peptic ulcer, to more serious conditions such as gallstones or pancreatitis. When your doctor mentioned “enzymes,” they might have been referencing liver function tests which could indicate issues like hepatitis or bile duct obstruction, or it might relate to pancreatic enzymes suggesting pancreatitis. If the antacids didn’t bring relief, it’s essential to re-evaluate the approach.

First, since the pain is persistent and affecting your quality of life, following up with your healthcare provider is crucial. You might discuss additional tests like an abdominal ultrasound, which can assess gallbladder or liver conditions, or an endoscopy to visualize your stomach lining and check for ulcers. If pancreatic issues were a concern, imaging tests like a CT scan or MRI might be recommended. Keep a symptom diary, noting when the pain occurs, its intensity, related foods, or activities, to bring better context to your next appointment.

If these options have been explored already without clarity, you might consider consulting a gastroenterologist, who specializes in digestive disorders. Meanwhile, continue trying to eat a diet that minimizes potential irritants — like avoiding spicy foods, caffeine, and alcohol. Consider small frequent meals instead of larger ones which can sometimes exacerbate symptoms. But remember, if the pain intensifies, or if you experience additional symptoms like fever, jaundice (yellowing of skin or eyes), or vomiting blood, these are red flags that necessitate immediate medical attention. Your health and safety is important, and checking your concerns with a qualified professional is the best way forward.