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

### input:
My stomachhas been looking quite swollen for a long time, but soft and was giving no problems. Now though it always feels queasy and gurgles loudly. For many years I have been taking lot of drugs for arthritis and fibromyalgia - anti-inflammatories, diclofenac, plaqueniland omeprazole, and currently tramadol and paracetemol as necessary for back pain until i can have PLIF surgery to L2/3. I actually postponed the surgery because i thought the problem was due to anxiety about the operation, but it persists. I have had a gastroscopy last year which wasclear, and at that time i had no stomach symptoms.However lately my stomach squelches loudly and feels almost like its trying to process glue.i feel it right under my sternum all the way through my bowel. It not painful, but troublesome. Of course there is also gas, but naturally due to all the drugs i am constipated and have to use senna powder. Ive noticed that i am sensitive to gluten so have eliminated that from my diet, but the squelchy queasy feeling is still there. Last night for dinner I could only stomach pureed spinach and mashed sweet potato. This morning i was so nauseated after my breakfast of banana and fig smoothie with protein powder that it all came back up. Im 54, 53 and 73kg. Fit through exercise and natural foods (we grow all our own meat, fruit and vegetables and rarely eat out) but drink wine every day. I am reluctant to go to the doctor as there is so much else going on that i feel like a hypochondriac, which may be true, but it doesnt help the queasy sickness.

### output:

Hi. Thanks for an elucidated history. This is very true that all the combinations of medicines do cause the gastric upsets you described. Yet, it is always a better policy to get the organic causes ruled out, as you may not be in a position to stop all the medicines and see the results whether this helps to alleviated your stomach problem. I would still advise having one clinical examination, preferable by a Castro Doctor and undergo some simple tests like an X-ray abdomen in a standing position, Ultrasonography of abdomen after a good preparation of the bowels.