Conversation: The conversation between human and AI assistant.
[|Human|] For two days I have had stomach pain that is constant with occasional shooting stabbing pain. I also have back pain. Ive had some diarrhea and constant belching. I no longer have a gallbladder it was removed 6 years ago. I cannot seem to find any ease from the pain and belching causing me to be unable to sleep.
[|AI|]  Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, presuming the possibility of gastritis and a pancreatitis or a stone in other parts of biliary tract, the following could be done: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, and avoidance of alcoholic beverages and smoking if you do.3) Regular routine exercises like morning walk depending on your medical fitness.4) Prescription for a prokinetic agent and a proton pump inhibitor along with an anti-spasmodic if need be for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.5) Routine stool test for ova and cyst and treat them if positive.6) Get your routine blood tests like CBC, blood sugar, kidney function test, serum lipid profile, serum amylase and lipase, liver function test and treat any abnormality in the reports.7) Keep my options open for an ultrasound of abdomen and a possible endoscopic assessment by a gastroenterologist. 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