PLEASE ADVISE

a male boy age 15 having coplaints of recurrent vomiting and hiccups immediately aftar meal(solid and liquid both),with problem in deglutination,pain in abdomen at varios site,pain in B/L breast from last 6 month.his problem started with pain in abdomen 6 month back which laterly associated with vomiting and hiccups. O/E there is mild tenderness over the epigastric area...and severe tenderness in B/L breast...I suggest him usg abdomen,ugi endoscopy,and ba. meal follow through test to rule out varios condition which could be possible....but i couldn't find anything relative which help me to make diagnosis..USG ABD-DILATED BOWEL LOOPS,Ba MEAL-NAD,UGI ENDOSCOPY-MULTIPLE DOUDENAL NODULES WHICH WERE SEND FOR BIOPSY ITS REPORTS ARE AWAITED..I AGAIN EXAMINE THE BOY THE AND ASK HIM TO DRINK WATER TO SEE WHAT KIND OF DIFFICULTY HE HAVE...HE DRUNK WATER WITH MILD DIFFICULTY IN DEGLUTINATION AND VOMIT IMMEDIATELY AND JUST AFTER HE DEVELOPED SEVERE HICCUPS WHICH PERSIST FOR 10 MIN.........T//T THAT IS GOING ON SOOTSHEKHAR RAS,KAMDUDHA RAS,MAYURPICHHA BHASM,SHANKH BHASMA,SHANKH VATI...BUT THERE IS NO RESPOSE OF T/T........I REQUEST TO ALL MEMBERS PLS SUGGEST ME THE DIAGNOSIS...AND A BETTER TREATMENT THANK YOU.......


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