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PHARMACIST-REVIEWED GUIDE · PAKISTAN
Cramps, burning, gas or a stomach bug each need a different medicine. Here's how to choose, and when not to self-treat.
✓ Reviewed by Arhum Nadeem, Pharm-D · ✓ Based on NHS guidance · ✓ 3–4 hr delivery in Lahore
Medically reviewed by Arhum Nadeem, Pharm-D (8 years’ experience as a pharmacist) · Last reviewed: 17 October 2026
The right medicine for stomach pain depends on the type of pain. Cramping or colicky pain is usually eased by an antispasmodic such as drotaverine (No-Spa) or hyoscine (Buscopan). Burning pain or heartburn after meals responds to an antacid or alginate such as Mucaine or Gaviscon. Pain with diarrhoea and vomiting needs fluids and ORS more than painkillers. Avoid ibuprofen, diclofenac and aspirin for stomach pain, because they can irritate the stomach lining. Sudden, severe pain needs a doctor, not a tablet.
Key points
| Type of pain | Likely cause | What helps | Examples |
|---|---|---|---|
| Cramping, comes in waves | Gut spasm, IBS, stomach bug | Antispasmodic | No-Spa 40 mg, Buscopan Plus |
| Burning in the upper tummy or chest after meals | Acidity, indigestion, reflux | Antacid or alginate; short course of omeprazole if frequent | Mucaine, Gaviscon |
| Bloating and trapped wind | Gas, IBS | Peppermint oil, walking, smaller meals | Peridots (peppermint oil) |
| Long-term cramps with bloating and changing bowel habits | Irritable bowel syndrome (IBS) | Mebeverine, on advice | Colofac, Spasler Neo |
| Pain with loose stools or vomiting | Stomach bug, food poisoning | ORS, fluids, rest | See our loose motion guide |
| Pain with hard, infrequent stools | Constipation | Fibre, fluids, a laxative | See our constipation guide |
| Lower tummy cramps with periods | Period pain | Mefenamic acid or ibuprofen | See our period pain guide |
No-Spa contains drotaverine, an antispasmodic that relaxes the smooth muscle of the gut, bile ducts, urinary tract and womb. It’s used for cramping pain from gut spasm, kidney or gallstone colic (alongside medical care), and period cramps. It doesn’t reduce acidity or treat infection.
Urdu mein: No-Spa (drotaverine) pait ke marorh aur khinchao, gurde ya pitte ki pathri ke dard aur mahwari ke marorh mein aaram deti hai. Yeh tezabiyat ki dawai nahi hai. Khurak doctor ya pharmacist se poochein.
Buscopan Plus combines hyoscine butylbromide (an antispasmodic) with paracetamol (a painkiller). Don’t take extra Panadol or other paracetamol products with it. Avoid it if you have glaucoma, an enlarged prostate with difficulty passing urine, or a fast heart rate, unless your doctor agrees.
Ibuprofen (Brufen), diclofenac (Voltral), naproxen, mefenamic acid and aspirin can irritate the stomach lining and worsen gastritis or ulcers. If you need simple pain relief, paracetamol is gentler on the stomach. For more, read Paracetamol vs Ibuprofen: Which One Should You Reach For?.
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Go to hospital straight away if:
See a doctor soon if pain keeps returning, or comes with weight loss, trouble swallowing, persistent bloating or diarrhoea lasting more than a few days.
Pait dard ki dawai dard ki qisam par munhasir hai. Marorh ya cramps ke liye No-Spa ya Buscopan, jalan aur tezabiyat ke liye Mucaine ya Gaviscon, gas ke liye peppermint oil aur halki walk, aur dast ke saath dard mein ORS sab se zaroori hai. Pait dard mein Brufen, Voltral ya Disprin na lein. Achanak shadeed dard, daayen taraf neeche dard, khoon ki ulti ya kala pakhana ho to foran hospital jayen.
It depends on the cause. Antispasmodics such as No-Spa or Buscopan suit cramping pain; antacids such as Mucaine or Gaviscon suit burning pain from acidity. Severe or unexplained pain needs a doctor.
No-Spa (drotaverine) relaxes muscle spasms in the gut, urinary tract and womb. It’s used for stomach cramps, colic and period cramps.
Paracetamol (Panadol) is gentler on the stomach than ibuprofen or diclofenac and can be used for mild pain, but it won’t fix the cause.
Ibuprofen (Brufen) and similar painkillers can irritate the stomach lining and worsen gastritis or ulcers.
Sudden severe pain, a hard tender tummy, pain on the lower right side, vomiting blood, black stools, or pain in pregnancy are warning signs that need urgent care.
Plain, easy food such as khichdi, rice, banana, toast and yogurt, with plenty of fluids. Avoid oily, spicy and fizzy food until you recover.
This article is for general information and does not replace advice from your doctor or pharmacist. Always read the pack leaflet and follow the dose on the label or prescription.
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