### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am having stomach related problem.On consulting my local doctor I got informed that I have the problem of excess bile formation which becomes so frustrating for me.Whenever bile reflux increases more than the acceptable level ,it raises my anxiety level up to such great extent that I am not being able to sleep whole night.During this time belching becomes very frequent as well as fear.

### output:

Hi, How are you? My name is Chat Doctor.  I am a surgical gastroenterologist and I hope to answer your question today. I am sorry to hear all the issues you are having. Bile reflux is very rare condition, and it usually happens after a part of the stomach has been removed due to various reasons. I am pretty sure (reading your symptoms) that you are suffering from acid peptic disease with gastroesophageal reflux. This usually happens due to excessive acid secretion in the stomach. Also during the night, while sleeping acid seeps into the throat and can go into the lungs which causes coughing and sleeplessness. A combination of lifestyle modifications and medications usually can control the symptoms in up to 95% of patients. Avoiding smoking, alcohol, spicy food and heavy meals is the key. Small frequent meals should be the norm. Also avoid citrus fruits. Please do not lay down for a minimum of 2 hours post eating. And while sleeping in the night, make sure the head end of your cot is raised 15 - 30 degrees. An over the counter antacid (pantoprazole, omeprazole etc.) has high efficacy in decreasing acid production and this coupled with a prokinetic (risperidone, metaclopramide) prevents the reflux. Your condition is very easy to treat. Please do consult a physician who will be able to prescribe these medications. Hope this helps and hope you start to feel better. Please do not hesitate to write back for further clarifications.