Conversation: The conversation between human and AI assistant.
[|Human|] I have medium discomfort from below ribs to belly button this happens fairly regularly but is more painful this evening and I have had pain around my belly button. I have received treatment for acid reflux over last 9 months but have found that having stopped the tablets that it is improved, but still get abdominal pain. Any advice would be appreciated, thank you.
[|AI|]  Hi, Thanks for your query. Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastrostomy will help in the diagnosis. Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis. Thirdly kidney stones. X-ray of the PUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care