instruction: hi good morning I am 41 yo female with partner h5 65 kegs I would like to consult about the chest and back pain that I am feeling lately chest and back pain usually happen 2 hours after I eat or at night no fever the pain usually take 15 minutes or longer I felt like I being choked by the air in my esophagus and my stomach bloated when I take antacid like kremil chewable or omeprasol I felt a bit relieved but still too much gas in my stomach my be is normal is there any alternative medicine that I need to take I have no allergies to medicines hope to have meds that are not harmful to liver as I am diagnosed as hepab asymptomatic or hepab carrier thank you in advance for your help god bless
output: hello sorry to hear that you are suffering from chest and back pain if it is happening after eating then probably it is more of a stomach issue as your query goes regarding alternative medications apart from omeprazole and kremil syearup we can definitely change to lansoprazole which is similar to omeprazole but slightly stronger dosage would be 30 my twice a day for days there are other things that I would like to discuss as obvious the above medications are for symptomatic relief but we need to find the root cause of the problem possibilities include gastritis pyloric infection a type of bacteria affecting stomach ulcer in the stomach or upper part of small intestine to rule out any of these you would need to see a gastroenterologist who can then do an endoscopy and get a tissue sample from your stomach to check for pyloric I know that you might be afraid of these tests but there is nothing to worry as the procedure is usually painless and done as a day care so that you do not have to stay in the hospital atleast maintain a healthy diet reduce spices and carbonated drinks in your diet some aerobic exercise like yoga should also help all the best take care I hope you get well very soon