Conversation: The conversation between human and AI assistant.
[|Human|] Hi Ive been having stomach flares for the past couple of days that keep getting worse and worse. I have a history of GERD, so my diet is very bland, small, and simple. I dont believe i have done anything to upset my stomach these past days. Yet i am doubling over in pain and  cant keep any food down with these flares. I am so hungry but anything i eat seems to burn and cause so much pain. What should i do?p,s, i ve been on aciphex for over a year now..
[|AI|]  Hi. Thanks for your query and an elucidated history. Since you a known case of HERD taking Cipher for over a year, the symptoms are still continuing, the pain can not be explained on HERD alone. There may be another reason. I would advise you to have a review of upper GI Endoscopy, ultrasonography of the abdomen, Standing X-ray of the abdomen. Treatment would be :_RanitidineDomperidoneAntacid gel 3 hourlyContinue soft bland diet as you are already taking, Consult a Surgeon for clinical evaluation and further treatment.