Conversation: The conversation between human and AI assistant.
[|Human|] hello Im michael im 53yrs old and been suffering in the past with acid and hiatus hernia ,over the few months now ive been suffering from burning feeling in the upper left side of stomach and under left rib feeling like my stomach been pull upwards and causes pain and now stinging feeling in around breast bone this burning sometimes effect my face with a stinging feeling, this is leading to acute anxiety which makes thing even worse
[|AI|]  Hi. Thanks for your query and an elucidated history. Absolutely true. The anxiety can increase your problems and the problems in turn increase the anxiety. This is called a vicious cycle. I would suggest you to all the fresh investigations for knowing the status at the moment. Upper GI endoscopy, ultrasonography of the abdomen to rule out other problems at gall bladder, pancreas and other organs, which may be directly or indirectly related to the present problem. You have to start soft bland diet, in the form of small frequent meals. No aerated Chat Doctor. Oral medicines : like sanitizing or PPI to suppress the acid. Antacid gels 3 hourly - preferably when you are empty stomach. DomperidoneAll other medications as directed by your Doctor or Gastroenterologist. The Hiatus Hernia surgery is required if it is causing associated problems. Small hernia do not need surgery if they do not cause problems.