Hi and thanks for the query, The pain described is very suggestive a classical peptic ulcer disease or commonly called gastritis pain. The diagnosis of gastritis is both clinical and paraclinical. Clinical diagnosis involves your doctor asking you questions and carrying out a physical examination. AS fibroscopy could be asked to ascertain the extent of the disease. This is also helpful in testing of a germ, which has been found to be well related and to cause this disease called helicobacter pylori. However, other abdominal conditions could mimic a similar clinical scenario and other exams like abdominal ultrasound and chest x ray could be necessary to make a clear cut distinction depending on the case. Consulting your primary care physician could be very helpful. Thanks and best regards, Luchuo, MD.