Conversation: The conversation between human and AI assistant.
[|Human|] Good morning doctor, I want to talk about my mother.she had done esophectomy before 1year n 7 months. Now she is suffering from left lower abdominal pain and when she take some food then she feel uneasy n congested and one more thing is reflux upwords when she  get up in morning after 3 hours cold ( pus) like secretion upwords but doctor said its ingested food . We have done every test but everything is normal . But what is cause for pain plz tell me-
[|AI|]  The esophagectomy might have been done for some malignant condition of esophagus, and some by-pass or end-to-end anastomosis might have been done, whichyou have not mentioned. The surgical procedure may be associated with post-surical complication of GER which should be treated. The lower abdominal pain may be due to some secondaries in the GIT, may be lower GIT in this case, which should be evaluated by SURGICAL GASTROENTEROLOGIST.