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

### input:
Hi Doctor, I am Sushma,22 years old.I am getting severe stomach pain after eating breakfast in the morning.Even,I am having very simple and light food with out masala.I have tried Eno thinking it is reason of gastric trouble but there is no pain relief.Pain is getting reduced if I have any butter milk.Is it because of gastric trouble?Please help me with a solution for this problem and kindly suggest the diet to be followed. Thanks, Sushma.

### output:

Hello, vwmulasaisushma, I am glad to see that you have limited the intake of spices. If you are regularly experiencing stomach distress after eating, we definitely have to look into causes. You are a very young female, and I am sure you are under a lot of stress. Duodenal ulcer is common among young population. If you have a family history of stomach problems, more likely that you have this. Eno or Alka-Seltzer can give very minor relief but they decontrol acid very well. If any, they can cause more acid rebound. There are very effective medications available over the counter, such as H-2 blockers, Proton Pump Inhibitors for acid control. H-2 blockers include Cimetidine, Sanitizing etc. PPI's includeOmeprazole, Lansoprazole,Omeprazole, Omeprazole etc. These are highly effective. You can start taking these twice a layabout one hour before breakfast and before the evening meal. You need to take this for 4-6 weeks. If you get complete relief, you probably don't need x-rays or endoscopy. If the symptoms continue, see a specialist. I also want to tell you that most of the duodenal ulcers are associated with a bacterium called H. Pylori. You need to be tested for that and if positive, needs treatment. Avoid excess caffeine, alcohol, tomato and citrus products. I wish you the very best.