Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am having problems in my chest area and I can feel the pain in my upper back area as well but there feels like air is in my esophagus. When I try to burp it hurts really bad trying to come up and the burp never makes it. When breathing I feel this in my chest area hurting really bad
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) related symptoms 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 burning, gaseous feeling, chest and back pain, breathing difficulty etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. Avoid junk food. 4. Take pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. 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.