Conversation: The conversation between human and AI assistant.
[|Human|] I have been on 80 mg of protonix for approx. 2 years. Over the past year have experienced sporadic pain in the upper abdominal area and in upper middle back. It occurs for a week or two and then goes away and may not return for several months. I have GERD and a hiatal hernia. My last endoscopy was approx. 4 years ago. Sometimes stomach is sore to the touch also. Asked Dr. last year for another endoscopy because of the pain and he just increased dosage of protonix. Could pain be caused from meds., hernia, or ??????
[|AI|]  Hi. Thanks for your query. You have got a complex history of Hiatal Hernia and HERD, you are on Proton ix 80 per day, pain in the upper abdomen and the back off and on, sometimes the stomach is sore to touch. From the history this looks to be due to :-Gastric Ulcer or Cancer on the posterior wall of the stomach or-Pancreatitis. You need Upper GI endoscopy and CT scan to see for these. If CT and Endoscopy is negative then your have to go for MRI of the spine as the spinal lesion can cause such problems.