Conversation: The conversation between human and AI assistant.
[|Human|] hi i went too the doctors three weeks ago now with exsesive burping and a constaint itergetion type pain in my chest he gave me a two week course of omeprazole which stoped the problem just over a week since i finished the medication the problem has now come back. any ideas ??
[|AI|]  Hello! Your description is highly suggestive of HERD (Gastroesophageal Reflux Disease). Since your food pipe is located automatically in the mid of the chest, this reflux causes chest pain. You were rightly prescribed omeprazole.  Do avoid spicy food, caffeine. Have your head end elevated with two pillows while sleeping. Have your dinner 2 hours before bedtime.  Consult a gastroenterologist if your symptoms persist despite medications. They might go for an endoscopy and biopsy.  If there is infection with H. pylori (a bacterium) that is causing your symptoms you will prescribe a course of necessary antibiotics.