Conversation: The conversation between human and AI assistant.
[|Human|] I FEEL LIKE I have a lump in my throat and when I swallow it hurts in the middle of my chest,what could this be? It came on suddenly,and at first I thought it was severe heartburn.Medicine did nothing and it kept me up all night.I do have hypothyroidism and take medication.I also feel a throbbing in my neck.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you should first consult gastroenterologist and get done upper GIS copy. Since you are telling that you have dysphagia (difficulty in swallowing) and feeling of lump in throat, any esophagus structural abnormality can present. So upper GIs copy is needed to rule out structural abnormality. If this is normal than no need to worry much. It is heart burn only. It is due to reflux of the stomach acid into the esophagus and cause the symptoms. And reflux Disease needs simultaneous approach of following steps.1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor5. Keep 2 - 3 pillows under head in the bed. 6. Go for walk after meals.