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

### input:
Hi Dr. I have been suffering from dull spasmic upper middle stomach pain episodes of continuous pain of 5-6 hrs from last 5 yrs. These pain episodes are unpredictable but very recently i am having these pain frequently like 5-6 times in a month. I also have constipation . Whenever I eat something spicy, this pain happens. But nowadays even on taking normal home cooked food also i have indigestion, gas, bloating up of stomach, also feeling to vomit . I have gone to numerous Gastroenterlogists and done endoscopies, ultrasounds, colonoscopies, blood tests many many times. But nothing appears in these tests and every time they give me some gastric medicines or IV to reduce pain and other symptoms but no permanent solution. Recently one DR told me i might have IBS due to which i am having this pain. Please suggest a solution for me that is long term and effective. yours gratefully, shru female, 26 yrs old

### output:

Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You are having pain in upper middle of the abdomen, since 5 years, comes 5 or 6 times in a month. No relief with any doctor or any medicines.  Stomach movements are mainly influenced by the vagus nerve. It has effects of anxiety, tensions over it. So one should be cautious of his feelings when you have stomach related pains.  I advise you some diet related recommendations as, take food in regular intervals of time.  Avoid taking spices, (homemade also.)junk foods, and oily foods.  I also advise you to practice yoga, meditation, reading books and comics, and hearing music of your interest etc. Wishing for a quick and complete recovery.  Best regards.