Conversation: The conversation between human and AI assistant.
[|Human|] I have had the feeling of a lump in my throat for six months. It is relieved when I eat and sleep but comes right back. I also feel a tightness in my chest and feel that I have to burp a lot. My endoscopy came back normal with a little gastritis. Could I have a hernia that was missed?
[|AI|]  Hello! Thank you for the query. Hiatal hernia is usually clearly visible during gastrostomy. So it is rather not the case. What seems the most probable reason of your symptoms is HERD (gastroesophageal reflux disease). It is caused by stomach acid regurgitation to the esophagus. It may cause a chest tightness and lump in the throat as well. GERD should be treated with medicines called PPI's (proton pump inhibitors) like Omeprazole. You should also improve your diet: avoid fatty foods, spicy foods, chocolate, coffee, alcohol, orange juices. If diet and medicines won't be helpful, you should consider surgery called fundoplication. Hope this will help. Regards.