Hello dear Understand your concern. I think it may be mild intestinal obstruction/perforated ulcer But you should confirm by the doctor. Following are the other causes: GERD, severe gastritis, H.Pylori infection, ulcer, pancreatitis, gall bladder disease, anxiety disorder, IBS, stomach flue Risk factor: obesity, alcohol and caffeine, anxiety You should consult the doctor and undergo test like Blood: CBC, ESR, LFT, KFT,Amylase Gastrointestinal Endoscopy Abdominal USG So after diagnosis you can take treatment: Advice: Tablet PAN-D Injection tramadol Take liquid diet Take small meals rather than large meal Avoid alcohol and caffiene Reduce stress and anxiety Antibiotics metronidazole plus ceprofloxacin Hope this may help you Best regards Dr. Sagar