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

### input:
Hi I have pain at the right side below my chest but it very hard at the time of motion/toilet.It increases when I made pressure for toilet. I know the pain started before 2-3 days when I seemed to nausea/vomiting and I tried for it.No vomiting but feeling like that. please suggest me

### output:

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-IBS C with HERD. Dear, You need to have physical check-ups from Surgeon. Get EGD(Esophago-Gastro Duodenoscopy) to assess the Gastritis and omitting in your case. Also assess for other causes of dyspepsia -like Gall stones/ appendicitis which could cause sucChatDoctorplaints. Remedy-Check up with Surgeon and get photocopy and rule out any Piles / parotitis / and fissure in ANO and treat it accordingly with medicines and surgical care. Bland Diet with non-fried / non-spicy liquid diet for 3-5 days Skimmed Butter Milk. Rice soup / oatmeal x 3 days time would recoup from the Constipation and imbalanced fluid balance Sporran DS- a probiotic-1 x 2 times a day x 2 weeks PPI like- Pantoprazole Domepridone- 1 x 2 x 2 weeks. Gradual changeover to solid food would recoup the present problems of hardness at motions. For to recover hard motions-Dulcolax suppositories. Acute nausea with right abdominal pain and right chest pain would be relieved once constipation gets relieved. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS