Hi, thanks for posting your concern in the HCM.
I think bloating, back pain, nausea and acid reflux need further evaluation to diagnose the underlying cause. This may be due to
Peptic ulcer disease, non ulcer dyspepsia, GERD, liver disease or GB pathology. If you have associated lower gi symptoms, e.g. irregular bowel habit, pain in lower abdomen etc. that may be due to
Functional bowel disease or IBS, giardia infection etc.
My recommendations are-
1. Cap Rabeprazole+
Levosulpiride once daily For 7 days.
2. Plenty of oral fluid.
3. Avoid empty stomach for more than 4 hrs in daytime.
4. Frequent small meals rich in
dietary fiber.
Avoid carbonated beverages, smoking, alcohol and spices.
5. Investigations-
Complete blood count, urea, creatinine, electrolytes, LFT, amylase, lipase, fasting TSH
Stool for routine examination
USG of upper abdomen
You should consult your local gastroenterologist for further evaluation.
For any further questions, please write back to me directly.
Regards,
Dr. Kaushik