Conversation: The conversation between human and AI assistant.
[|Human|] Hi there , I recently had dinner and ran downstairs to the kitchen and on my way back up I had a sharp pain in the middle of my chest. It was scary but lasted a second. I also suffer from fibromyalgia and always fear it is my heart. I am only 20. What can this be?
[|AI|]  Thanks for question on Chat Doctor. In my opinion you should first get done ECG to rule out cardiac cause. If it is normal than I think HERD is the cause. It is Castro Esophageal Reflux Disease. It is due to laxity of gastroesophageal sphincter. Due to this the acid of the stomach tends to come and cause the symptom of central chest pain. So try to follow these FOF better control of HERD.1. Avoid hot and spicy food. Avoid large meals. Take frequent small meals. Avoid stress and anxiety.2. Avoid routine use of painkillers. Take it only when required. 3. Take protein pump inhibitors. 4. Go for walk after means.5. Avoid smoking and alcohol if you are taking. Lose weight if you are obese.6. Keep 2-3 pillows under head in bed.