Conversation: The conversation between human and AI assistant.
[|Human|] I have been having severe stomach pains in the upper left abdomen area under the lower ribs soon after eating late afternoon/evening. I notice this more often after eating spicy/more acidic foods, but does not feel like heartburn/acid reflux. These are sharper pains and sometimes radiate to the lower, middle part of the stomach after a period of time. Sometimes these pains are accompanied with a nauseous feeling as well.
[|AI|]  Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe abdominal pain with acid reflux. Well there can be many reasons for symptoms you mention in query like acid reflux (as you also mention) , heart burn and IBS. I would suggest you eat light and non-spicy, take antacid after every meal, take light walk after every meal, take small and frequent meal, elevated your head while lying down and eat at least one hour before going to bed. If condition doesn't get well then consult gastroenterologist for proper examination. Doctor may order ultrasound, stool test or physical examination. Doctor may prescribe omeprazole or sanitizing along with laxative and ornidazole. Hope your concern has been resolved. Get Well Soon. Best Wishes,