### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 43 years old male,188 tall,100kg.Medical history is only a back problem which achs a lot.Stomach problem started 5 years ago when i came home from egypt.Dull stomach achs.Thought it was mainly after yogurt products.Then from time to time i get the same symptoms .Now it has got worse.Efter eating i get dull stomach achs,no energy,tired eyes,dry mouth.It starts in the middle just under the brost bone then the dull feeling i get is in the stomach.sometimes i feel i have a slight fever thou when checking i have no fever.This lasts for 2-3 hours.At night i feel a bit acid in the stocmach .stools are fine no problem going to the toilet.Two years ago i lost 16 kgs on a quick shake diet.500 cals a day for 5 weeks.Had no problems.Have but back on 8kgs over the last two years thou. Life at home has been two young children in the last two years.not much sleep.

### output:

Hi. The symptoms you have mentioned may be due to Acid Peptic Disease, stomach ulcer or cancer. This can give to the back problem as you have mentioned. I would advise the following in such a patient:Continue Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you, hopefully.