Question: i have very mild upper abdomen pain but there no heartburn or blood stools as my stool is perfectly fine and no constipation, ive discomfort in my upper abdomen and flatulence with burps, when i eat its fine and after an hr after eating i get very very slight gnawing pain, my history is tht i had very bad food habits like after school i stayed home for 2 years and i skipped the whole breakfast and eat lunch at 4 pm thn some tiffin and thn very heavy dinner at 12 am night and sleep, now i realised my mistake and im taking breakfast , i have this pain since 1 month i went to doctor in saudi arabia where i live and they took h pylori test and it was negative , i tried dompirone (sme name liek tht ) and protozol , they didnt work as they worked when i was taking then it came bck, after many researches in google i came across non ulcer dyspepsia or fuctional dypepsia and the sypmtoms r quite matching, upper abdomen discomfort but nt very painful its very mild and gnawing as if im hungry thn very slight burning feeling which last fr 5 secs , but no constipation or any other problem, i eat fine and sleep fine without problems but i alwys burp and flatulence, pls help me do i need endoscopy ?? im scared of it Thank you,

Respected Doctor

Aha, may i know wht is PPI and wht its used for ?? Could you prescribe me the good ones ?? Jst fr information :)) One more question, if i dont take these PPI medications can it go on its own after few months ?? Well doctors say upper endoscopy is done when there r bloody stools and persistent abdominal pain , difficult swallwing or severe nausea ^^ May i know the cause for dyspepsia and why is it caused or occur ?? Thank you so much Doctor

A good symptom of Dyspepsia is when you have pesistent pain in upper abdomen and for dyspepsia which is not a life threatening problem i think so endoscopy is not necesary at the very beginning, may b ill try to take PPI like u said and if it doesnt work then i need to definately go for endoscopy, so doctor should i try PPi first or should i go for endoscopy first ?? Let me know, its persistent pain but it comes and goes and it doesnt stay very longer, some days i feel nthng and some days i feel it mild :)) Let me know