Conversation: The conversation between human and AI assistant.
[|Human|] I have a feeling of diffrent kinds of noises happens at different time likes, (bubbly, gurgling ,watery,pressure) in my left abdomen. Constantly, i have constipation also. It has been a while now. Almost ayear and half. Most of the time it is on my left side but rarely it could occur in my right side aso.Sometimes,there is also strong pulse in my left abdomen. I went to see a doctor several times. One of my doctor gave me amitriptyline. That didnt work at all. I am still living with it.I am so much frustrated.it is hard to get a good sleep at night having this discomfort all the time.
[|AI|]  Hi, Thanks for posting your query. Do you have acidic belching/ abdominal discomfort/ gargling sound in abdomen/ abdominal bloating after taking meals? Do you have fever/ spasmodic abdominal pain? With the available describes symptoms, there could be possibility of peptic ulcer disease or small intestinal bacterial overgrowth. Presence of gargling sounds with constipation favors the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, Ultrasound imaging abdomen, thyroid profile, blood sugar, x-ray abdomen and serum electrolytes. Meanwhile, you should take proton pump inhibitors along with prokinetics for relief of your symptoms. You should also take rifaximin along with probiotics. Avoid oily and spicy food, tomatoes, citrus fruits, excessive tea & coffee, chocolates. Take soft diet along with yogurt. Take care,