Conversation: The conversation between human and AI assistant.
[|Human|] I started feeling nauseous as I lay down for bed tonight, fell asleep and was awaken by shaking, and jittery feeling. I am having slight tingling in my left side and my chest feels warm from the inside... should I be worried. I am a 29 year old female, overweight but active.Also feeling extra gassy.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain, gaseous distention of stomach, nausea, burping, belching etc. Obese patients are more prone for HERD. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small. 2. Avoid stress and tension, be relaxed and calm. 3. Lose some weight and stay fit and healthy. 4. Take combination of pantoprazole and levosulperide twice daily on empty stomach. 5. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.