Conversation: The conversation between human and AI assistant.
[|Human|] Occasionally, I have some chest pain in the area of my heart, nothing major but enough to make me notice. Is this normal at all or is it something that I should have cheked out. I have had EKGs in the recent past due to heart palpotations and everything came up normal. I am 36, 511 187 pounds. No major health problems that I am aware of. No history of anything major.
[|AI|]  Hello, I need to know more about the symptoms, like precipitating factors, factors that increase pain etc. Still one ECG during heaviness or pain should be done.  Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks.  Secondly does this pain increase on applying pressure over the area, if yes it could be Costco Chat Doctor.  Does this pain increase on deep breathing and coughing etc. if yes it a pain arising from lining of lungs, most of the time due to viral infection and needs NSAIDs treatment and evaluation.