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Dear Dr. Alexandr, starting from April 2003, I have fits. Every 10- 12 days I have sharp, jabbing, unrelenting epigastric and substernal (below the breast bone) pain which radiates into my back. Usually pain starts 2 hours after meals. Also I have vomiting, weird rumbbling, constant tugging, discomfort in my stomach. Belching. Shortness of breath. The fits usually last for 5- 6 hours. What relieves the pain? Very seldom it is vomiting. Sometimes a long car ride on a rough road. Sometimes drinking 2- 3 glasses of mineral water. But right now nothing helps me. Pain already lasts for 3 days. My physician prescribed me Omeprazole 20mg x2 per day Reglan 5mg x4 per day. But it doesn't work. I visited the emergency room at the hospital but I think I was misdiagnosed. Because of my history of gallbladder stones. The doctor gave me a referal to take out my gallbladder. But I know that I have a different kind of pain and it's location is not in the right abdomen. For 20 years I have a hiatal hernia. Please answer me. Can my pain be caused by my paraesaphageal hernia? ?? And does it require urgent correction for prevention of life threatening complecations? ?? Thank You for reading.

1. Ultrasound abdomen
Findings: gallstones (no cholecystitis)
2. Gastroendoscopy
Findings: severe acute gastritis with helicabacter pylori(was treated last month)
3. Blood test
Findings: white blood cells 9300