1. Avoid chillies and sour food, smoking and alcohol. 2. Stop irritant drugs like NSAID’s, if patient is taking them. 3. Gelusil MPS 2 tst x tds x 5 days. 4. Tab. HISTAC 150mg. bd x 5 days. 5. Tab. Baralgan 1 tds if spasmodic pain.
If pain is not relieved completely Ask for investigations – 1. Gastroscopy 2. Ba meal.3. Stool Examination.4. Gastric Analysis. If there is mucus or E. Histolytical in stools, Tab. FLAGYL 400mg x tds x 7 daysTab. Secnil 1gm x 2 tabs single doseTinidazole or combination drugs. If liver is palpable and tender Is there Jaundice? Infective Hepatitis?Is there C.C.F.?Heart murmur, neck veins or edema?