Conversation: The conversation between human and AI assistant.
[|Human|] My friend Jean has some serious chronic pain in his abdomin that is intensified when he is hungry. Its so aweful that he was been to the hospital numerous times with no help.  All tests repeatedly come up negative-- they thought pancreatitus because of elevated enzymes but no. He had a necrotic gall bladder which was removed, but this did not stop his problem and only intensified it. He is a very long term(40 years) weed smoker. Would it be possible that this unknown incredible pain he has where his stomach turns badly is from chronic weed use? Withdrawal? I read about some new type of syndrome too?
[|AI|]  Hi, Thanks for posting your query. Does he have acidic belching/ abdominal discomfort/ gargling sound in abdomen/ abdominal bloating after taking meals? Does he have retrosternal burning pain causing difficulty in swallowing? Does he have fever/ spasmodic abdominal pain? Is he alcoholic also? With the available describes symptoms, there could be possibility of peptic ulcer disease or fatty liver disease. He should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. He should also go for complete blood count, Ultrasound imaging abdomen, thyroid profile, blood sugar, x-ray abdomen and serum electrolytes. Meanwhile, He should take proton pump inhibitors along with prokinetics for relief of your symptoms. He should also take tramadol for relief of your symptoms. He should also take plenty of water and perform increased physical activity. Avoid oily and spicy food, tomatoes, citrus fruits, excessive tea & coffee, chocolates. Take soft diet along with yogurt. Take care,