Hi.
Thanks for your query.
Noted the history about a 37 year old getting horrible stomach pains,
bloating and feeling gassy 2 hours after taking food, only in the evening and not during the day. Happens around 9 pm every day for 3 evenings.
Since the problem is occurring only in the nights after dinner, the cause may be as follows:
The
stress and/or
anxiety at the time of dinner and around might have been the cause of
aerophagia and thus bloating and pain.
Another possibility is that you are either drinking aerated drinks, alcohol or eating something only at the time of dinner that is not tolerated by the intestines hence causing bloating and
severe pain. These are the things you can not have in the lunch.
I would advise you the following.
Identify the factors, foods, beverages that instigate or enhance your problems. You have to stop these at any cost.
Get a small course of medicines as may be decided by clinical evaluation by your Doctor and after investigations of blood, stool and urine if needed or if the medical treatment is not giving you the relief.