Conversation: The conversation between human and AI assistant.
[|Human|] I had my gallbladder removed 2 years ago due to stones and a minor infection. (They wouldn t remove for months because tests said it wasn t infected and I kept pushing for it) ever since then there has been a whole new set of problems that the doctors won t give me the time of day to explain thouroghly. I ve had several tests done the past 2 years. Colonoscopy and endoscopy. Col. Came back perfect, endo said I have a hiatal hernia, bile gastritis and grade a erosive esophogitis. (Even tho the doc said they forgot to get a sample from my throat) I have had occasional blood in the stool and several black tarry stools and a itchy rectum but they insist there is no hemmeroid. I have severe stomach pain almost constantly and there is also orange balls in my stool fairly often that Iinvestigated once and has white powder in it!?? I also wake up every morning with a very swollen throat (lymph nodes probably) and swollen hands and feet. Also, incase it matters I have an iud because I ve had very messed up peroids my whole life. (2 iitimes a year, full month of bleeding on average) Ihad a cluster of cysts removed on my cervix several years back and a lot of my paps come back abnormal and nothing is ever done about it. The meds I take are pristiq, risperdol, a prescribed antacid and a bile salt pill? And proffesionals out there willing to give me advice would be much appreciated! I can t go on feeling like this much longer! Please and thank u!
[|AI|]  Hello there! Thank you for asking. let's talk one by one1- Sore throat. You just need simple Amoxicillin and some anti-inflammatory aspirin gargles to remedy that. 2-pap smears. If they are abnormal. What are you waiting for? Do you plan to get stage 4 terminal cervical cancer? If you do than continue not doing anything otherwise see a gynecologist and sort things out for you.3-Gastro intestinal discomforts and swelling hands and arthralgias and menstrual irregularities I am suspecting some Systemic Disease like SHE and Behçet. You need ANA, Anti DS DNA & Anti Smith Antibodies test to be on the safer road and getting treated accordingly.4- Your HERD is due to hiatal hernia, and it will be like this until you cure the hernia. otherwise it will lead to Barrel esophagus and then malignancy. The three goals of your treatment prevention of reflux of gastric contentsImproved esophageal clearanceReduction in acid production which are achieved by three waysModifying lifestyle factorsNeutralizing acid or inhibiting acid-producing mechanismsEnhancing esophageal and gastric motility really need Dietary modifications. Avoid stimulants mentioned belfries or fatty foodsChocolatePeppermintAlcoholCoffeeCarbonated beveragesCitrus fruits or juicesTomato sauceKetchupMustardVinegarAspirin and other non-steroidal anti-inflammatory Chat Doctor. Lose weight (if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight. 2. Avoid alcohol, chocolate, citrus based fruits, tomato based products3.avoid pepper mint coffee and possibly the onion family4.eat small frequent meals rather than large meals.5.wait at least 3 hours after the meal to lie down or sleep.6.refrain from ingesting food (except liquids) with in 3 hours of bedtime.7.elevate the head of your bed at least 8 inches8.avoid bending or stooping positions9.don't use nsaids10.don't smoke11. Have a proper sleep routine12. Use cold milk as