Conversation: The conversation between human and AI assistant.
[|Human|] Hi, i had my gallbladder removed September 2014. For about a year now i have constant dull ache (like a toothache ) that is located around the left rib cage area. I also have acid reflux and wondered if this would cause this constant pain. I take one omeprazole 20g once a day and paracetamol every fours hours. The pain is worse whenn lying down, but even through the day, it is still there. I had an mrcp, as at the pre op assessment, my blood test result showed minor abnormalities, but the mrcp came back normal. I have had an abdominal ultrasound which was normal (only showed the gallstones ) hence the gallbladder removal. My gp advised this pain is normal with acid reflux (i don t get any other acid reflux symptoms, other than this pain). Please help/advise. Sally johnson, aged 52
[|AI|]  Hi there. Yes, You seem to be suffering from Acid reflux. Avoid consuming hot, spicy, hard food and fluids. Avoid colas, coffee, alcohol, smoking. Avoid lying down for at least half an hour after food or fluid consumption. Consume curds, plenty of fresh fruits and vegetables, plenty of water. Get an upper GI endoscopy to confirm gastritis or ulcer due to acid reflux to get the best treatment as necessary.