Conversation: The conversation between human and AI assistant.
[|Human|] Hi there -I am having bad pain in the abdomen and back and all around (as if there was a tire or balloon around me from belly button to mid lungs). It is especially painful if I try to breathe deeply or have extra internal pressure (as in before burping).  I can move all around and bend, etc, so dont think it is my spine and my stomach/intestines themselves arent painful when I eat/drink/bowel movement.  When I do have the spike in pain, then everything hurts and it feels very internal.  GB is removed but liver does have a large hematoma (has been there a long time without these symptoms), previously told I have hiatal hernia but have never experienced this type of pain in my life.... thoughts?
[|AI|]  Hi and welcome to Chat Doctor. It sounds like hiatus hernia. All this is caused by high acid and legal nerve irritation.  This disorder can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor.  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. Wish you good health.