Conversation: The conversation between human and AI assistant.
[|Human|] Hi. My doctor told me two months ago my spleen is mildly enlarged, sonogram showed 13cm. The findings were the same last month. All blood tests were done and normal and the sonogram of the spleen didn t show anything. The last two weeks I ve been having an off and on burning sensation on the left side of my stomach just under the rib cage. It sometimes feels better w a BM. My doctor also said I have silent reflux as the middle part of my tounge is white and the back part of my tounge has papilla on it. Extremely frustrated I m not getting more answers. Would love some feedback. Thanks.
[|AI|]  HelloYour doctor has rightly suggested that burning sensation in stomach may be due to reflux/acidity. You may need proper clinical examination and history taking. Empirically you can take proton pump inhibitor like tablet pantoprazole 40 mg half hour before breakfast in the morning for one month. You may need upper GI endoscopy after evaluation. You should consult gastroenterologist for proper evaluation. Mildly enlarged spleen may be due to past infection like typhoid, malaria etc. This condition usually doesn't require any treatment. This is a benign finding. Get well soon. Take Care Chat Doctor.