Conversation: The conversation between human and AI assistant.
[|Human|] Hello about one month I have been so bloated I look pregnant my lower back kills me with pain when I eat I can feel the food go down with pain under my left breast all the way around to the lower to middle of my back my pulse is high I have acid reflux so bad it feels like I am having a heart attack stomach hurts and I have lumps on the left side of my stomach I am dizzy at times and tired an lot any idea what this could be I already have ibs and no gall blader thats why I have no Idea this could be
[|AI|]  The peristaltic movement of our bowels gradually moves the food down the gastrointestinal tract as it is digested and processed, and ultimately leads to the expulsion of feces. Your bowel movements have been disturbed, as a result of which the food is unable to move down steadily, thus causing acid reflux and bloating probably with constipation as well. It is related to the IBS that you have mentioned. Constipation can cause low back pain. You will have to regularize your bowel movements if you need to solve your problems. For that you need to take a high fiber diet. Take fiber supplements like Isabel husk daily with dinner. Alternatively, you may take lactulose syrup 2 teaspoonfuls at dinner. Take small but frequent meals. Gradually your bowel habits should return to normal and your back pain would get resolved soon after.