Conversation: The conversation between human and AI assistant.
[|Human|] last nite i had alot of pain in the upper stomach area right under my breasts..it started to travel up to my mid chest with lite pain ...it lasted about 5minutes then started again for another couple minutes. I had this before but not as painful and that past incident traveled up to my right jaw and and ear so my heart dr. did tests including angiogram but didnt find anything. I don t have reflux...but I do have some nerve damage in my upper esophages that causes some trouble with swollowing and I have a very small hernia in my stomach. I am 66 yrs. old
[|AI|]  Hello and Welcome appreciate your concern. It seems to be a hiatal hernia get a baseline ECG done first I would empirically recommend a two-week course of mebeverine, Omeprazole and sucralfate to see for improvement, if symptoms persist then an endoscopy and biopsy after barium studies may be indicated done in consult with your doctor to rule out other causes me know if you have any query wishing you best of healthThanks