Conversation: The conversation between human and AI assistant.
[|Human|] Ive been suffering with abdominal pain for the past two months. Back in forth to doctors and hospitals. I do have an umbilical hernia. the pain is not in the vicinity of the hernia. It started out as cramping pain and was put on bentyl. I felt like my symptoms have not gotten better by taking the meds. Now the pain is more like burning. I took a CT scan that showed the umbilical hernia with fatty tissue. I had my gall bladder removed in march. Nothing shows up on my organs of concern according to the report. It says no inflammation or obstruction is visable in the intestines. my blood work turned up good. no high white blood cell count. This is totally aggravating me and I had to ask my doc for anxiety meds from the stress this has put on me. the burning is mostly on the upper abdomen left and right sides. put there is pain in other places. Any ideas on what this could be?
[|AI|]  Hi ! Good morning. I am Chat Doctor answering your query. The umbilical hernia itself could give rise to some kind of Chat Doctor.  However, the burning sensation in the upper abdomen could be due to a coincidental esophagitis because of HERD (gastrointestinal reflux disorder). If I were your doctor, I would advise you with the following:1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance of alcoholic beverages and smoking if you do.3) Regular routine exercises like morning walk depending on your medical fitness.4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.5) Routine stool test for ova and cyst and treat them if positive. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.