Conversation: The conversation between human and AI assistant.
[|Human|] Hi. For about a month, I have been feeling like something in my stomach gets knotted causing me to bend and twist or stretch to relieve the sudden pain and discomfort. I have had this feeling before a few years back, but now it is happening to me throughout the day on a daily basis. I also have a dry cough which has made the condition worse. Sometimes I ll get a coughing fit and my stomach will suddenly knot up which is very scary and painful because I worry that I won t get it unknotted again. Hope you can help me.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more likely. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause symptoms of coughing, burning chest pain, chest pressure and tightness. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals.3. Avoid stress and tension, be relaxed and calm.4. Take pantoprazole and levosulperide combination on empty stomach twice daily.5. Go for walking after meals. Lose weight if you are obese.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.