instruction: hi doctor I have been having a strangling feeling in my throat for around seven months this came post thyearoidectomy and so I thought it had to do with surgery however my gastroenterologist did an endoscopy and found bile in my stomach as I researched this I immediately thought of my gallbladder removal surgery two years ago anyhow she put me on acid reflux medicines and that do not seem to be helping at all I have pain in the upper right quadrant of my stomach and this strangling feeling every day I am taking carafate four times a day as well I have just changed my thyearoid medicine to nature thyearoid grains per day my ash was at and I know it should be closer to what to do
output: hi small hiatus hernia if gastritis is ruled out then consider barium study for hiatus hernia infection induced pangastritis continue medications for gastritis avoid spicy food and try to reduce any form of nicotine and caffeine do not sleep immediately after dinner try to reduce liquids during meals revert back with the answers to the above questions to a medical gastroenterologist online