<s>[INST] Hello doctor, I am a 37-year-old male. I am feeling some slight burning sensation from throat to upper stomach and feeling bit uneasy in the throat. I have also noticed some blood on spit twice or thrice last one week. Today, I got the test result which is all perfect except some borderline up cholesterol. My ESR is 28 while the normal range is 15. I am worried. Please help. I have attached the lab reports. [/INST] Hello. I have gone through the reports (attachment removed to protect patient identity). After seeing your symptoms and labs which seem to be normal, you most probably have gastroesophageal reflux disease which requires some antiacid therapy. I would like to know if you have any bloody vomiting or dark stools? If yes, then immediate gastrointestinal consultation is required. I suggest Gaviscon (Sodium Alginate, Sodium Bicarbonate, and Calcium Carbonate) syrup after meals plus Pantoprazole 20 mg before breakfast once daily for one month. Follow up after two weeks. For more information consult a general medicine physician online --> </s>