Conversation: The conversation between human and AI assistant.
[|Human|] DIABETIC FOR 24 YEARS.  A1C ABOUT 7.5.  DRINK A SUBSTANTIAL AMOUNT OF COFFEE DAILY TO COUNTER PERPETUALLY LOW ENERGY LEVELS.  BEGAN FEELING WHAT I WOULD DESCRIBE AS BUBBLES IN HEART.  CAN YOU TELL ME WHAT THESE MAY INDICATE.HEART DISEASE IS NOT IN FAMILY HISTORY, BUTGRANDMOTHER HAD HIGH BP LATE IN LIFE.  JUVENILE ONSET DIABETES IN FAMILY HISTORY AFFECTING THREE PEOPLE.  TYPE TWO  GRANDMOTHER.WHATARE YOUR THOUGHTS.  NOT INSURED
[|AI|]  Based on your query, my opinion is as follows.1. Possible gastritis with esophageal reflux. You need to take proton pump inhibitors like pantoprazole along with risperidone. If taken regularly bubbles/gas formation will be reduced.2. Also avoid ingestion of air during meals. Take probiotics to improve gut bacteria.3. Get a complete hologram done along with thyroid hormone profile. Anemia and hypothyroidism needs to be ruled out.4. Control blood sugar within normal range. Avoid episodes of hypoglycemia. Based on tests further opinion can be given.