<human>: Hi ive been  having upper abdominal pains at random moments, often in the middle of the night or right when i wake up. It feels like cringing pain and im just extremely hungry, no matter how much i eat i can still feel hungry an hour later. My stomach is feeling really bloated. What could this be?
<bot>: Hi. Thanks for your query and an elucidated history. All the symptoms of random pains in the stomach, cringing pain, starving, and bloating of the stomach are a symptoms complex of various problems. I would advise you the following ::Excessive hunger has to be investigated by doing oral glucose tolerance tests HAC to see whether you have diabetes or not. Upper GI endoscopy to be devaluation for the stress and anxiety and the treatment has to be taken accordingly as advised by your treating Doctor. Contrast enhanced CT scan has to be done to see any pancreatic tumor or any other problem. Proper symptomatic treatment will cure of your problem. If all the investigations are normal, IBS has to be considered and treated accordingly. In the meantime start PPI and antacid and probiotic regularly