Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor, I have kind of discomfort below my ribs on upper right side after few hours of meals. No discomfort from night to noon. ideally it starts around 4 PM and continuos till 7-8PM. I will have breakfast at around 9AM, Lunch at 1:30PM and Dinner at 9:00PM I smoke 1-3 max per day and alchohol intake of 3 or max 4 Pegs of 60 Ml once or twice a Week Regs Age: 32 Weight: 77.5 Kgs Height: 171 Cms Hyper Tension: Using 1 tablet of Ramihart H 5 ( Ramipril IP 5 mg and Hydrocholorothiazide 12.5 mg for last 5 years KK
[|AI|]  All your above symptoms indicate that you are suffering from acid reflux disease. But before I could tell anything about the treatment, I would first suggest you to get an ECG to rule out any cardiac cause, although it is unlikely. I would have prescribed my patient initially pantoprazole 40 mg once daily for 7-10days 20 minutes before dinner. And most importantly I would rather strictly advice on lifestyle modifications like - Cutting down on smoking as it is a risk factor for both gastritis and cardio vascular diseases - Cutting down on alcohol as it also increases the risk of gastritis - Routine physical exercise Lifestyle modifications will go a long way in your present condition and also helps you in the long run.