Conversation: The conversation between human and AI assistant.
[|Human|] Hello Dr. Narasi, I have been concerned about my health for several weeks now.  Just to fill you in, in the past I have been diagnosed with GERD and Hashimotos Thyroiditis/Thyroid Nodules.  I currently take nexium on an occasional basis and really now just take multi-vitamins, fish oil, and vitamin B-6.  I was taking cymbalta for many years due to PMS mood swings but now have weaned off of them.  I have been experiencing tremendous bloating and a burning sensation in my abdomen.  Can you share some thoughts with me on the causes?  Thank you for any help.  Kim
[|AI|]  Hi Kim. The symptoms and the history you have given are self-explanatory. Most of the time the cause of the bloating and burning sensation is related to the stress, anxiety and tensions. You have to continue medium and get a prescription for anxiety too, and you may be fine. If there is no effect you will have to undergo upper GI Endoscopy and other tests to find any other concomitant medical or surgical problems ...