Conversation: The conversation between human and AI assistant.
[|Human|] 44 year old male 511 188 lbs. Been having burning sensation in the chest for yers. All cardiac tests are negative. Was treated for acid reflux 4-5 years ago. The pain lasts all day for weeks on end. Suddley its gone but always comes back. Cant seem to get any answers.
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly uncontrolled HERD (gastroesophageal reflux disease). 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. Along with antacids, you need following lifestyle modifications for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Get done upper GIs copy to rule out H.pylori infection in stomach.  As h.pylori induced gastritis can be the cause for chronic uncontrolled HERD.