Hello,
Thanks for posting your query.

These symptoms are suggestive of early satiety which is feeling of fullness even before completion of meals. It can be due to the following causes:

1)     Gastritis and acid reflux
2)     Gastroparesis(delayed gastric emptying,a disorder in which the stomach takes too long to empty its contents)
3)     Gastric outlet obstruction
4)     Irritable bowel syndrome
5)     Diabetes
6)     Hyperthyroidism
7)     Cushing’s disease
8)     Rarely GI especially stomach tumors.

Get your blood sugar levels checked and follow the following lifestyle measures:

1)     Try raising the head of your bed about four inches with blocks.

2)     It also might help to avoid eating or drinking for two hours before you lie down. Also avoid taking two or three heavy meals. Instead, take regular frequent small meals. Avoid taking tea or coffee prior to bedtime and concentrate more on a healthy diet.

3)     To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods. Further, avoid eating any junk food or oily, spicy food. Take a healthy, balanced and nutritious diet consisting more of fruits, salads, soups and raw vegetables (after proper washing). Also increase the protein content in your diet instead of carbohydrates and fats. An advice from a dietitian will be helpful.

4)     Also take some antacid but if the symptoms are severe, then you may need drugs like proton pump inhibitors like omeprazole after consulting your doctor. Also then get other causes of early satiety ruled out.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Hello,

Thanks for writing back to me with the clarification.

It is good that diabetes and thyroid disease have been ruled out in your case. In that case and with sense of fullness just under the rib cage, it is mandatory to rule out any GERD (gastroesophageal reflux disease)and gall bladder disease as well.

It is best to get an ultrasound gall bladder and an upper GI endoscopy/ barium meal done to confirm the diagnosis.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Hello,

Thanks for writing back.

Hiatal hernia is a condition in which part of the stomach sticks upward into the chest, through an opening in the diaphragm. A hiatal hernia by itself rarely causes symptoms and the symptoms are basically of acid reflux, pain in chest and difficulty in swallowing.

Your symptoms are unlikely to be due to hiatal hernia. The taste in the mouth after taking the multivitamins is due to the gastroesophageal reflux after taking the multivitamins.

Hope this answers your query.
Wishing you good health.

Kind regards.

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