Conversation: The conversation between human and AI assistant.
[|Human|] I have had so many test done to make sure that my stomach and intestines are alright. But even after all of those test......Whenever I have an abdominal examination, it hurts really bad whenever doctors apply even the slightest pressure too my stomach.  Why is this?
[|AI|]  Hi this is Chat Doctor. From your description and taking your words that numerous necessary tests have been done without any abnormalities' gastritis, gastric ulcer or hiatus hernia can be the most probable diagnosis you should get an upper GI endoscopy which will show you any ulcer and a cent abdomen to rule out any hiatus hernia. Now management of the condition will be as follows:1)if it is a simple gastritis either H₂ blocker or proton pump inhibitor with syrup.sucrafil-o 2tsp TDS can be given.2)if there is a gastric ulcer UGI copy guided biopsy can be obtained. If biopsy proves evidence of h.pylori ulcer then h.pylori regimen that is combination of azithromycin, amoxycillin and metronidazole with proton pump inhibitorsx2weeks followed by proton pump inhibitor for another 2 weeks.3)if cent abdomen or USG shows evidence of hiatus hernia then open or laparoscopic dissent fundoplication with diaphragmatic rural tightening can be done.4)sometimes inferior wall MI can simulate abdominal pain so kindly get an ECG or 2D ECHO done. If ECG shows evidence of MI and top t is positive kindly visit your physician and take treatment for MI.5) kindly get LFT or S.amylase’S.lipase done. If there is any liver disease or pancreatitis should be ruled out and if any evidence of liver disease or pancreatitis is present, visit the physician/surgeon for further management.6)lastly if you are doing heavy workout spasm of rectus muscle can lead to pain abdomen so local analgesic spray or painkillers can be used.