Conversation: The conversation between human and AI assistant.
[|Human|] I have a hiatal hernia and really bad gerd and I get sharp stabbing pains in my chest usually after I eat. what do you recommend I do. I just saw my gasto doctor and she said it felt muscular after my exam but I am freaking out thinking its a heart attack
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Possibility of worsening of HERD (gastroesophageal reflux disease) is more in your case. But better to rule out cardiac cause first. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Your pain is mostly due to HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So along with Chat Doctor.  1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in the bed to prevent reflux disease. 6. Avoid smoking and alcohol if you have these habits. 7. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.