Conversation: The conversation between human and AI assistant.
[|Human|] I have pain in my upper abdomen above my belly button,pain in my upper back between my shoulder blades and acid reflux regurgitation that tastes like vomit. I have Systemic Lupus,Psoriatic Arthritis and Fibromyalgia. What could the symptoms I named be?
[|AI|]  Hi. Thanks for your query. The symptoms of pain in the upper abdomen above the belly button, between the shoulder blades and acid reflux regurgitation that taste like vomit is called HERD.HERD means Gastroesophageal reflux disease. This may be due to the medicines you are taking for Systemic Lupus, Psoriasis Arthritis and Fibromyalgia. I would advise you the following:-First get the upper GI endoscopy done to see the exact problem, to see if there is Hiatus Hernia or any other associated finding.-PPI or Sanitizing -Antacid gel 3 hourly interval-Domperidone 8 hourly interval Soft bland diet Small frequent meals No tobacco in any form No alcohol or aerated beverages No late nights. All these things will help you for the other problems also.