Conversation: The conversation between human and AI assistant.
[|Human|] My aunt is 40 years old and diabetic and has been awake the past hour. She said she feels really funny. She said she has like a tightness in the center of her chest that almost feels like heart burn and he upper abdomen is sore and she feels nauseous. She also feels tingling in her forearms. What do you think it is and what should we do?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Possibility of HERD (gastroesophageal reflux disease) is more likely in her case. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause nausea, chest tightness, abdominal pain etc. So telling her top follow these.1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole and levosulperide combination twice daily on empty stomach.4. Avoid stress and tension, be relaxed and calm. Go for walking after meals.5. Keep 2-3 pillows under head in bed to prevent reflux. She will mostly be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. Thanks.