I Have Severe Stomach Pains When It Is Empty (after
 
                                    
                                    
                                                
                                                Sun, 14 Oct 2018
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                
                                                Last reviewed on
                                             
                                            If the pain you are talking about is in epigatrium it can be ulcers.
Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.
Your case is a classic presentation of acid peptic disorder very likely associated with ulcers in stomach or duodenum.
When ever a patient complains of waking up with pain in stomach or mid night pain in stomach the first thing to be ruled out is presence of ulcers in stomach or duodenum.
I would suggest you to go for a endoscopy test where stomach and intestines would be observed by a high definition camera for presence of ulcers or swelling in soft layers of gut(gastritis).
As of now for relief take omeprazole 40 mg twice daily 6 a.m and 6 p.m(over the counter).
Avoid spicy food.
Drink chilled milk 150 ml twice daily.
Avoid all citric fruits.
Follow up with endoscopy report.
Regards!
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