<s>[INST] I AM  36 Yr old guy, having gastric  problem, every half hour or so its become uncomfortable to relase gas, by stomach had some kind of uncomfortableness, left side of the abdomen has some diferent feeling, just below the left rib i am feeling numness kind of thing and lower left abdomen aslo has some kind of experience like somthing pulling from inside, I am not having much pain, what whould be the reason [/INST] Hi.It looks you are suffering from IBS- Irritable bowel Syndrome. I would have liked to see the medicines you have taken in past with dosage and investigations you have undergone. This is the most important.For us to say this as a IBS i.e. Irritable Bowel Syndrome, all the investigations should be normal.I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen,*Colonoscopy All these investigations should be within normal limits for one to say you have IBS.Treatment:''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle.I think 'may be' you are not coping with something. Vacation outside of your area, mobiles phones to be off.You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Getr into the hobbies which make you forget the world around you. Life comes only once, boss.If the change of routine helps, the necessity of medicines is drastically reduced to almost nil.Medicines :: You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosageVit A and Vit D in therapeutic doses,Multiviatamins , probiotics, anxiolytics help a lot.Remember the simple dictum in IBS : you have to undergo necessary investigations before you are labelled as a patient of IBS. Secondly IBS is easily treatable, controllable and within the ambit of your psychological set-up.The moment the instigating or precipitating factors come into play the problem may re-start. </s>