Conversation: The conversation between human and AI assistant.
[|Human|] since Sunday ive had a constant pain just below my rib cage above my abdomen when i eat or touch it. at first i could barly swallow because it felt as though there was a lump at the bottom of my throat but it has slowly changed to a pain at the top of my abdomen. this only happens when i eat / drink / cough (also when i would breath but that has stopped) im 20 years old and male.
[|AI|]  Hi, Thank you for asking Chat Doctor. I have gone through your query. Your problem can be due to Gastroesophageal reflux and gastritis. But other conditions like pancreatitis or cholecystitis should be ruled out. A physical examination should be carried out by a physician. I usually prescribe proton pump inhibitors like rabeperazole and anti-emetic risperidone for two to 4 weeks and if no improvement advise an ultrasound examination and fibrogastroduodenoscopy if needed. Hope this may help you. Let me know if you have any further queries.