Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. Poorna, myself is Kishore from West Bengal. I am suffering from Gilbert Syndrome from last one year. My recent bilurubin level is 1.8 mg/dl. I have undergone through USG and the doctro said every thing is OK if still feel ur condition is not good u can do Endoscopy . The test reports and USG saying that my liver and bilurubin levels are under normal in case u have gilbert syndrome. But I have always pain or irritating sense at below the right ribs and the pain will continue to spread back side means my entire liver area giving me a very painful and burning sensation. From last couple of weeks I have some problem with my entire right portion of the body. I have pain in my right leg, right arm and even some time I have some kind of nerve stretching sense of my right cheek and lips . What all these indicates I really scared that something is happenig to my liver. What should I do.
[|AI|]  Hi, Most likely your symptoms are because of Gator esophageal reflux disease (HERD), It is a chronic digestive disease. HERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe. The backwash irritates the lining of your esophagus and causes, heart burn, chest pain and intense burning sensation in throat. Both acid reflux and heart burn are a part of HERD. The presence of gastritis has proved additive to your symptoms. AdviceAsk your gastroenterologist to increase the dose of pantoprazole or omeprazole, Pantoprazole