Conversation: The conversation between human and AI assistant.
[|Human|] I am a chemo patient currently on topotecan. Last night I took a dose of miralax and I have not felt we ll all day. Slight chest discomfort and some anxiety. Also a low grade fever this evening which I gave most evenings anyway. Also have significant gas. Had a diverticulitis attack about a month, no current abdominal pain. Could I be allergic to miralax?
[|AI|]  Hello dear, thanks for your question on Chat Doctor. In my opinion you are having mostly HERD (gastroesophageal reflux disease). You are on chemotherapy and these Chat Doctor.  Anxiety is the added factor for worsening of HERD. And your symptoms like chest discomfort, nausea, gaseous feeling etc. are suggestive of HERD more. So better to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright.