Conversation: The conversation between human and AI assistant.
[|Human|] Hi strange pain /sensation in middle of chest (upper stomach?) it feels like I have either been punched or my insides are being sucked in in that area..I also have pain sensation in my back area....it sort of reminds me of when I have had a gall stone attack but not full blown as I had my gall bladed removed 5 yrs ago...any ideas?
[|AI|]  Hi and welcome to Chat Doctor. It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor.  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. Second option is pancreatic disorders, you should do certain tests to verify is there any kind of pancreatitis. Wish you good health.