Conversation: The conversation between human and AI assistant.
[|Human|] My stomach has been hurting nonstop for almost a week, most of the time it feels like someone is squeezing it while every now and then it feels like something is eating at my stomach lining.  I cant eat anything either. I also have a hiatal hernia which my doctor did see as a problem 2 months ago when I had an EGD test but no ulcers. I have taken nexium and prylosec and neither work.
[|AI|]  Hi ! Good evening. I am Chat Doctor answering your query. With the history of a hiatal hernia, I would presume your symptoms to be due to an associated HERD. If I were your doctor, I would suggest the following for you to get a symptomatic relief :1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food including any alcoholic beverages.3) Regular routine exercises like morning walk depending on your medical fitness.4) Prescription for a prokinetic agent and a proton pump inhibitor (which you already are on) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.5) In case of no relief, an elective surgery for the hiatal hernia might relieve your symptoms, and so you might have to consult a gastroenterologist for the same. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.