Conversation: The conversation between human and AI assistant.
[|Human|] I have been experiencing upper abdominal issues for almost 7 months. I have been to a GI doctor and been diagnosed with GERD and erosive esophagitis and they are treating with proton pump inhibitors and I have been using them for over 3 months and I continue to have nausea, vomitting, abdominal pain and bloating along with terrible belching . I went to a rheumatologist and I have increased levels of creative protein but no one seems to be able to figure this out. Do you have any idea what might be going on?
[|AI|]  Hello, livcamncod33,I am assuming that your diagnosis of HERD and erosive esophagitis was made after endoscopy and biopsy. I hope you were also tested for H. Pylori. Ask the GI doctor, if these were done. You have been on PPI's for over three months. I am not sure if you are on a single dose or twice daily dosage. The best time to take the PPI is about an hour to hour and a half before your main meals. I am sure you have been told to avoid excess caffeine, alcohol, tomato based products, excess dairy. Milk contains calcium and it can stimulate acid buildup. You mention increased levels of C-Reactive protein. All that means is that you have some degree of inflammation, regardless of the location. If you are following the above guidelines, and still having same symptoms, you should make another appointment with the GI doctor for re-evaluation.Sometimes, changing to a different PPI might work. I wish you well.