Conversation: The conversation between human and AI assistant.
[|Human|] I have had tightness in my right ribcage for a few months now.  The ribcage itself is tender to touch. The pain radiates around to my back. There has been a few times when the tightness gets worse and I feel very nauseous and fatigued. I have had an abdominal ultrasound to look for gallstones but was all clear. Any ideas what this could be? Maybe a duodenal ulcer?
[|AI|]  Hi! I had gone through your query and understand your concern. It I are your trading doctor I would come out with some possibilities: -The first is that you may suffer from gastroesophageal reflux disease (HERD) which is a condition when the stomach acid moves up to the esophagus. In this case you experience burning upper abdominal pain, worse when lying flat or bending over, particularly soon after meals, relieved by antacids or sitting upright therapeutic trial of a PPI (Omeprazole) is a reliable method of confirming the diagnosis. The symptoms will relieve quickly if you take PPI.-Second possibility is that you may have stomach ulcer (this can cause the same symptoms as I write above) If I were your treating doctor I would first rule out the presence of heart disease such as Angina sectors, Heart attack or other conditions. So I suggest you to consult a doctor to exclude serious condition and to take the right treatment. Hope I was able to help you. Wish you good health. Chat Doctor.