Conversation: The conversation between human and AI assistant.
[|Human|] I have been so tired can hardly get out of bed. I have had knawing pain that is located in between my rib cage. I had an  couple years ago and the findings were esophagus erosion but I was not happy with the bedside manner from the surgeon. My stomach is constantly bloated and I look pregnant (even though Im for sure i am not pregnant). Do you think it may be an ulcer, hernia? Please help
[|AI|]  HIT hank for asking to ChatDoctorI really appreciate your concern without the clinical examination it is becoming very difficult some time to come on any conclusion with the help of brief history given here, if you do have history of esophagus disease then this complains need to be ruled out, as far as your doubts are concerns for, Hernia, ulcer, these all needs investigation without proper investigation such big diagnosis can not be made, if the pain is severe then in my opinion clinical examination would be urgent, hope this information helps you, have good day.