<human>: I had my gallbladder out about a year and a half ago and since then I Still suffer with nasty reflux, about three days ago I got really bloated and my reflux kicked in again , then  my chest in betweenbreasts hurts everytime I eat or drink anything do you have any idea what is going on?
<bot>: Hi. Thanks for posting query at Chat Doctor. You may be familiar with the common mechanism of gastroesophageal reflux disease (HERD) ; however I will briefly explain:Food enters in to stomach from esophagus via lower esophageal sphincter (LES). If LES fails to close/contract effectively food content from stomach may reflux into the esophagus leading to HERD. Certain food may lead to relaxation of LES and/or increase gastric acid production. 1. Chocolate 2. Caffeine.  3 Alcohol.  4. Fatty meal.  5. Citrus fruit and tomato you have a history of HERD that has been treated successfully, then advise is:1. Avoid chocolates; carbonated Chat Doctor.  Avoid tomato juice, decrease salt intake3. Minimum alcohol intake and try to quit smoking (if you're a smoker)4. Eat your dinner at least 2 to 3 hours before going to bed5. Raise your head by placing two pillows under your head before sleeping Hope to answer your concern Further questions are most welcomeRegards