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

### input:
Hey there.... quick question of curiosity: about 1.5 years ago, shortly after I started to not eat so healthy (I had lost my appitite & I was content to only eat one good meal a day for a quite a while.), I started to get this sharp pain in the left of my abdomen, just by the pelvic bone.  It woke me up to my poor nutrition & I started to force myself to eat even when i was not hungry.  It took a while for the pain to get better.  It weakened & over time dropped lower, right to the bend with my left leg.  But that same pain seems to show up, although more mild now, from time to time especially when my stomach is upset or if meal times are too spread out.  Any ideas?

### output:

Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, at the first instance I would insist for a regular timing of your diet. Keeping your stomach empty for a long time predisposes its mucosa to harmful effects of the natural acid produced inside the stomach, and if continued result in inflammation and possible ulcer formation in the long run. This could result in gastritis or a peptic ulcer in you giving rise to such symptoms of pain in the abdomen specially when your stomach remained empty. I would advise you initially for a proton pump inhibitor and a liquid antacid for a symptomatic relief at least for six weeks. In case it does not help, or the pain increases, I would not mind referring you to a gastroenterologist for a possible endoscopic evaluation of your gastrointestinal tract. Further management would depend on the clinical assessment and related investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.