Conversation: The conversation between human and AI assistant.
[|Human|] I am having chest pain in the middle of my chest. When I lie down it hurts more than when I sit up. I also checked my pulse and I normally run pretty low like between 45-55, but it was 63 when I checked. Do you think maybe its gas or something more serious?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Central chest pain more on lying down is commonly seen in HERD (gastroesophageal reflux disease). But better to first get done ECG to rule out heart diseases. If ECG is normal then no need to worry about serious illness. Possibility of HERD is more. HERD is due laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain, gaseous distention etc. So take antacid tablet like pantoprazole. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Keep 2 - 3 pillows under head in bed to prevent reflux. 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.