Conversation: The conversation between human and AI assistant.
[|Human|] I have a stent put in 5-6 yrs ago, am on a heap of medication for my heart an cholesterol, depression. last visit to doctors all levels were ok lately I have been having chest pain when I walk, eat something,and when asleep in the morning around 3am get chest pain so I sit up and eventually it settles down like I m gassed .My heart beat is normal just a feeling of angina and indigestion, im trying to loose weight eat healthy but at the moment I feel a little stressed because of my living situation, I am getting it sorted out , I have a nitro pump spray but it doesn t seem to make things any better, all said I feel its to do with my stress situation an good diet changes will make it better, I m hoping....I don t think a visit to hostpital will do anything but tell me to loose weight and eat better, your thoughts ???
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Since your cholesterol, heart beat are normal, possibility of cardiac cause for chest pain is less. HERD (gastroesophageal reflux disease) is likely cause for your symptoms. 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 of chest pain after eating and on lying down position. HERD is common in patients with depression and obesity. So HERD is more likely. Treatment is proton pump inhibitors. Avoid stress and tension. Avoid hot and spicy food. Keep 2-3 pillows under head in the bed to prevent reflux. For weight loss, avoid fatty and oily food. Do regular aerobic exercise like swimming, cycling and jogging. Don't worry, you will mostly improve by all these. Hope I have solved your query. Wish you good health. Thanks.