Conversation: The conversation between human and AI assistant.
[|Human|] Hi. about 3 weeks ago I had pain under my left rib cage. Then I went to ER for chest pain and heartburn with no DX found. I still have this issue however now it is on both sides of rib cage, abdominal bloating, back pain, belching and most of all very very fatigue. I also always feel full.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more likely. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause symptoms of belching, burning chest pain, fullness in abdomen, bloating etc. So follow these steps for better symptomatic relief in HERD.1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals.2. Avoid stress and tension, be relaxed and calm.3. Take pantoprazole and levosulperide combination on empty stomach twice daily.4. Go for walking after meals. Lose weight if you are obese.5. Avoid stress and tension, be relaxed and calm. Quit smoking and alcohol if you have these habits.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.