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

### input:
my daughter has  is  lots of stomech pain  for years she is 17 now  she keeps  complaining a bout her stomech hurting  her keep taken her the the doctor  he not sure what the  problum  is   comes and going  she does have  stress in her life  and some times it goes to her side  could it be  she mite have a  ulcers  can stress cause  ulcers  can mediction cause  ulcers  she is on lamical   for seizures.. I took her back  to the doctor  he told  me they can do a test on her with die but the doctor said it could do some harm  he said to her i really do not know what to do .

### output:

Hello dear, You are correct regarding the fact that Stress causes ulcer. Stress causes increase acid formation in the stomach. This excess production of acid has harmful effect on the gastric mucosa as it erodes away the protective mucosal layer. Thus resulting in ulcers. Ulcers can also be caused by intake of certain medications, most commonly the painkillers. Lamictal is pharmacologically Aborigine, an anti-epileptic medication. Though it can cause side effects like rash, nausea, vomiting, giddiness, etc. but occurrence of ulcer is rare. Symptomatic relief can be obtained by administration of antacid gel, and intake of plain, soft diet. But, investigation like upper GI endoscopy & Ultrasound scan of abdomen will be needed to determine the degree of damage & formulate an appropriate management plan. So, kindly consult a Gastroenterologist for further management. There is no need to worry, your daughter will be fine. Wishing her a good health. Take care. You can ask me a direct query on this website using the below link: http://www.ChatDoctor .com/doctors/ Chat Doctor. 