Conversation: The conversation between human and AI assistant.
[|Human|] I had a fall 2 years ago and fractured my left humerus Have plate and 12 screws.have not felt well since. Ihave hiatus hernia and find I am getting breathless when doing anything physical. No pain involved.also diagnosed with gerd but not having any discomfort from this .taking nexium 20mgs daily. Any suggestions?
[|AI|]  Hi thanks for contacting Chat Doctor... Noted you have acid reflux and shoulder surgery in past with just now having dyspnea on activity... First rule out anemia as it can lead dyspnea on exertion... For that HE and PCV estimation done... If needed iron tablet given...... Second do you have hypertension ?? Cardiac history?? As early heart failure case can lead dyspnea with edema feet. Rule it out by ECG OR ECHO. If still problem not detected rule out respiratory causes by chest x-ray and pulmonary function test.... For hiatus hernia induce relax take omeprazole like Chat Doctor. Head elevation while sleeping. Immediately after taking meal don't take sleep. Avoid excess spicy and fatty food. Excess coffee, chocolate like food avoided that relax LES. Take care...