Conversation: The conversation between human and AI assistant.
[|Human|] For several months I have been having sharp burning pains in my upper left abdomen and the pain goes around under may left arm and left upper back. It seems to be worse when I eat most times. It eases off when I lean over or lie down on a heating pad.Three years ago I had to have emergency gall bladder removal due to 3 golf ball size stones which had caused my gall bladder to thicken walls and I guess just die. I didn t know I would have to pay for the opinion, but thanks anyhow.
[|AI|]  Dear friend ... I understand your problem ,,, this looks more like HERD/Hiatus??? Better get an upper GI endoscopy done ....hope you are over weight??? Please reduce your weight . Add more of green leafy vegetables to your diet .  More of fibers . Stop fried and processed/spicy food stuffs... quit smoking/alcohol/coffee/tea . Better divide your meal in to 4-5 parts ... instead of eating at a time . Eat small quantity in 4-5 intervals . In addition, you may have to take tab.PAN-D in the morning half an hour before food. Till u get endoscopy ...