Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my lower belly and lower back hurt at times, mostly when I am in bed, and if I breathe in deeply they hurt worse. I feel like my tummy is tense and tight and its miserable. Keeps me from sleeping. Sometimes hurts bad when I roll over so I have to keep adjusting my sleep position . I am awake now and its still hurting the same but tends to go away during the day, come back when I lay down at night..
[|AI|]  It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor.  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. Wish you good health.