Conversation: The conversation between human and AI assistant.
[|Human|] Hi I m 49 year old female, witha history of gerd 15 years, have had upper right quadrent pain for 2 weeks,I also have a hiatus hernia for 10 years. Now the pain is in and under my sternum, excruitiating chest and upper back pain between my shoulder blades. When I eat feels like food is stuck in my esophagus , very painful. after i eat my stomach just kills me. Had a ultrasound on friday, they said i had a distended gallbladder.
[|AI|]  Hellothanks for your query have herd for 15 years with hiatus hernia for 10 years distended gall bladder is a vague terms there any pathology...stone something like that????u need to consult a gastrosurgeon, need to have a proper evaluation of hiatus hernia and if needed surgery should be done to correct it...otherwise u should not have relief of your herd symptoms think your all problem regarding your complaint ll be received the mean time u may try pantoprazole, topside combination need to have at least an ECG done thank u