Hi XXXXXX,
Welcome to XXXXXXX forum.

Let me know your other associated symptoms along with mentioned.
Does your husband has acidic belching/ abdominal discomfort/ gargling sound in abdomen/ abdominal bloating after taking meals/ constipation?
Does your husband has retrosternal burning pain causing difficulty in swallowing?
Is there family history of diabetes and thyroid disorders?
What medicine are you taking for control of blood pressure?

With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility.
Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound , excessive flatulence.
Dyspepsia could be due to bile reflux, and functional in nature.
Peptic ulcer disease could be due to Helicobacter pylori bacteria abd could manifest in form of nodular gastritis, follicular gastritis, erosive antritis, gastric and duodenal ulcer disease and in severe cases, may cause adenocarcinoma of stomach.

You should consult with XXXXXXX medicine specialist/ gastroenterologist and should go for thorough check up.
He should also go for complete blood count, blood sugar fasting and postprandial, serum electrolytes,and thyroid profile.
He should also go for endoscopy along with biopsy.

He should also go for urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria.

Treatment depends on exact diagnosis.
Meanwhile, he should also take proton pump inhibitors along with prokinetics.

He should follow the mentioned changes:
1) Don't take tomatoes, and citrus fruits.
2) Avoid onion, garlic, excessive tea and coffee, chocolates,
3) Avoid oily and spicy food, non veg.
4) Take soft diet along with yogurt.
5) Keep difference of 3 hours between meals and sleep.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava

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