Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr.samuel,i am 34 years old woman and i have a problem in my stomach since 2007.I feel pain and burning inside my stomach,its usually at its worst in the morning and after dinner.But its on and off pain.I had painkiller like panadol and some herbal remedies but its still the same.Hope you can help me please!THANK YOU.
[|AI|]  Hi, thank you for your query. The complaints you give point towards gastroesophageal reflux disease (HERD) or "heartburn".HERD is usually caused by, impaired expulsion of gastric reflux from the esophagus.it may be triggered by consuming food in large quantities, or specific foods containing certain spices, high fat content, or high acid content and lifestyle choicest treatment of heartburn depends on the underlying cause. Medicines such as H₂ receptor antagonists or proton pump inhibitors are effective for gastritis and HERD, the two most common causes of heartburn. Antibiotics are used if H. pylori is present also healthy lifestyle changes like eating and sleeping at regular intervals and regular sleep patterns.thank you, wishing you good health.