Conversation: The conversation between human and AI assistant.
[|Human|] I am having severe stomach pain. it could be pancreatics or my large stomach hernia. went to emergency room Saturday. The doctor said I did not have pancreatics but my primary doctor said that he did not see results in report that he received today. I feel full like I have eaten a large meal when I only had dry toast and cup of pudding. I feel very sick. should I go back to the er or spend time visiting my primary. I need relief from this pain.
[|AI|]  Hi. Your posting additional symptoms would have helped me to give you a better idea about diagnosis. Viz: nausea / vomiting/ abdominal distention / constipation or loose motions/ fever/ fainting or collapsing / sweating/ and so on. If these symptoms are not there, it is less probably due to pancreatitis. Large stomach hernia can cause this type of pain if the opening (neck) is small and there is entrapment of intestines. If one goes for an X-ray in standing lateral position, one can see intestine being trapped. Such a simple test. Ultrasonography and serum lipase and amylase enzymes increase in pancreatitis. Well there still can be another reasons, which can be diagnosed on a good clinical examination and your proper history. Let me know more.