###Human: I have pain in the epigastric region for three months. What should I do? ###Assistant: Hello. It has been very difficulty to seel medical advise in this time. I appreciate you of using this platform for your medical queries. From your history it seems the pain secondary to hypersecretion of acid. However, there are many other reasons of upper abdominal pain that may not be related with just high acid secretion. It is of utmost importance to get some blood and stool test before jumping to treat with medicines. Also the duration of pain you describe is somewhat worrisome. for now I want you take Cap Esomprazole 40 mg before breakfast once daily Syp Gaviscon /mylanta or any available antacid syp. but make sure you increase the dose. You should take 15 ml four times daily just 30 min. after meals. It is important that you should take capsule before meals and antacid syp. after meals. I also want if you can get these test before your second visit. Since we need to rule out any serious thing if present. Serum Amylase and Serum Lipase, liver function tests, Tsh, serum lactic acid, and stool for H pylori antigen univestigated dyspepsia FUNCTIONAL DYSPEPSIA PEPTIC ULCER DISEASE PANCREATIC CAUSE GB PATHOLOGY I would like to see you in 1 week time