Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am 28 years old and was diagnosed with a hiatus hernia 3 years ago. I acid rflux most days and have inherited a noise which is like a squark. Over the last 6 month I have been suffering back pain everytime I eat. I attended a&e last week as they thought I had kidney stones however nothing came back. They said there was blood in my urine and I had low palette count. I get serve pains when eating pasta bread etc which stays for 3o minutes on a good day which I can t walk because of the pain. I also get pains in my chest which I worry about however the dull ache in my back after eating which sometimes gets worse with shooting pains to the abdomen. Any ideas please ?? :-)
[|AI|]  Dear-thanks for using our system and will try to help you with my medical advice. You have hiatal hernia, which makes you prone for esophageal reflux. The acid can irritate your esophagus and give you abdominal and chest pain that mimics heart pain. You said that pasta aggravates the pain, and it might be because it is producing a lot of gas. You may need to identify what gives you more pain and eliminate it from your diet. This problem can be chronic acid irritation producing gastritis or an ulcer too. It is important to have a checkup with your doctor. I hope that my advice has been helpful Chat Doctor.