Hi Thanks for your query. If you are a female of reproductive age group you should exclude pregnancy by doing urinary beta-hCG level. Otherwise hypertension and diabetes have to be excluded. You should check your blood pressure and if its increased then it needs to be controlled by anti-hypertensive You should have fasting and post-prandial blood testing to exclude diabetes. Sometimes liver disorder can lead to such scenario for that you need to have lever function testing. If all these tests are normal then you should consult a psychiatrist. Along with these you can take pantoprazole orally twice before food along with domstal 10 mg thrice before food for relief. Thank you.