Epigastric distress: Discomfort in the upper abdomen may be due to active gastritis which responds to bland diet, avoidance of alcohol,caffeine and nicotine with the taking of a medication like prilosec or nexium (esomeprazole). Since your symptoms have been going on for months,I recommend that you be evaluated by a gastroenterologist who will perform a gastroscopy if he/she deems it advisable.
Answered 11/21/2015
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