Conversation: The conversation between human and AI assistant.
[|Human|] For the past 48 hrs I have had a stabbing pain in my back, I think it is the area of my gall bladder, I also have pain in my abdomen just under my ribs. Which is very painful if pressed, but not as bad as the constant stabbing pain in my back. I suffer very badly from heartburn always and am on medication (lansoprazole) for this. I also have a hiatus hernia. I do not want to bother my dr, but the constant pain is getting me down. My skin and the whites of my eyes do not appear to be yellow, and I do not feel nauseous
[|AI|]  Dear patient thank you for your question. Let me start by saying that you have every right to consult your doctor it would not be bothering him/her because you are his/hers patient. In my view you either have a severe case of heartburn brought about by the hernia or a complication known as esophagitis which is also a complication of the hernia. Your doctor will have to increase the dosage of lansoprazole but if it doesn't help you may have to go in for surgery of the hiatus hernia.I would be remiss if I did not tell you that it could be the following possibilities as well1) Stomach Ulcer: A ruptured or bleeding ulcer can lead to a similar Sir of pain. An indication of this is if you have pain while eating, constipation/diarrhea or black tarry stools2) Gallstone: Flatulence constipation and severe pain on breathing may point towards gallstone. A simple USG bladder will rule it out.3)Pancreatitis: Severe pain RADIATING to the back which is relieved on crouching forward. A pancreatic profile and cat scan should rule it out. I would like to stress again that you should definitely contact your doctor and discuss the above-mentioned possibilities as hiatus hernia is no small thing.I hope this helped