Conversation: The conversation between human and AI assistant.
[|Human|] Almost everytime I eat, it burns when I swallow. Not in my throat but in my chest. It burns all the way down. It helps a lil if I drink water after I swallow. I wake up a lot in the middle of the night with heartburn so I chew some tums and it helps for the most part. Why is it so painful when I eat?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having 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 burning in chest. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take proton pump inhibitors and prokinetic Chat Doctor.  4. Keep 2 - 3 pillows under head in the bed to prevent reflux. 5. Quit smoking and alcohol if you have these habits. Lose weight if you are obese. 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.