Hi Thank you for asking HCM. I have gone through your query. Hunger pain is usual for peptic ulcer disease. This can radiate towards chest and back also. Continuous gastritis can give this. In such case for my patients i would recommend taking proton pump inhibitors like rabeprazole for 4 weeks. I also advise taking sucralfate syrup before meals to give protective covering for ulcers and to help easy healing. Have light meals in short intervals. Avoid spicy,fatty, greasy and junk foods. Carbonated drinks, alcohol , smoking and excess coffee should be avoided also. If there is no improvement then fibrogastroduodenoscopy should be done to find out exact problem. A consultation with a gastroenterologist is well appreciated also.. Hope this may help you. Let me know if anything not clear. Thanks.