Conversation: The conversation between human and AI assistant.
[|Human|] Approx 4 yrs ago I was diagnosed with a hiatus hernia and prescribed omaprazole, I now take 20mg daily in the morning to control the symptoms.  However, despite taking each morning I still get the feeling of lumps in my oesophagus by mid afternoon/early evening... I then resort to taking another tablet in hope this will settle but to no avail. . . Another symptom of late is discomfort in my thoracic area which does feel like muscular tension but do worry that there could be something more sinister going on. Approx 18mths ago i had another endoscopy and was told I didnt have a hernia...? I didnt think it could go once you had one so perhaps I was just very inflamed. ..I dont like to go to the dr;s as I feel this is trivia but then when its bad I think I should. Should I just increase my dosage?
[|AI|]  Hi. Thanks for posting your question on Chat Doctor. From your symptoms, it looks like that you are having persistent HERD. But at the same time there is need to do rule out Aphasia cardiac and esophageal manometer, barium swallow may be required for that. You shouldn't increase the dose yourself, rather consult a Gastroenterologist for further evaluation and management. Meantime, avoid stress, take more of liquids, elevate head end of bed, avoid spicy foods etc.