<s>[INST] bad pain behind right shoulder blade, gas, bloating, lower right pain around pelvic bone...took 6 gasx, 10mg dicyclomine, 2 tylenol, 40 mg nexium all of which barely work to relieve symptoms...last gallbladder function and ultrasound gallbladder test normal six months ago...suffer from acid reflux.. all of this started within hours of eating some dried fruit [/INST] Thanks for contacting Chat Doctor. You have problem of acid reflux, so it causes blowing and pain problems. For gastroesophageal reflux disease you have to modify your lifestyle like..... Avoid citrus and spicy foods. Take small amount of meal and chew properly. Avoid alcohol Chat Doctor.  Elevate your head during sleeping time. Avoid Immediate sleeping after meal. Avoid stress. Endoscope is helpful for further diagnosis. Consent a physician for further treatment. I hope my guidance is helpful to you. Take care. Thanks. </s>