Conversation: The conversation between human and AI assistant.
[|Human|] I have been told that I have Gerd.I take Dexilant 60 mg 2 times a day and Zantac 300mg 1 time at night.I have had a complete cardio work up twice and 2 nuclear stress test.Several Ekgs have been done and all test come back good.I still continue to have mild chest pain and discomfront and sometimes pain in my arms.Gallblatter has been removed and this has been going on for more than 3 years.Should I still be worried about heart blockages and ask for a Hearth Cath.? I am a 46 yr. old male Thanks Lynn
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases or coronary artery blockage because your extensive cardiac work up is normal. Your symptoms are due to HERD (gastroesophageal reflux disease) only. Along with medicines, some lifestyle modifications are also important for better symptomatic relief in HERD. So follow these lifestyle modifications. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Quit smoking and Alcohol if you have these habits. 5. Keep 2-3 pillows under head in bed to prevent reflux. 6. Lose weight if you are obese. 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.