Conversation: The conversation between human and AI assistant.
[|Human|] Im 57, in fairly good health. In the last couple weeks, Ive noticed difficulty breathing in the shower. Sometimes Im light headed when I get out. Theres also a tightness, discomfort in my chest. Ive had my heart checked in the last couple years and didnt have any problems. I can play with my grandchildren and go up and down stairs fine. Just the shower. I have similar pain sometimes after eating and have suspected a hiatal hernia. Ive never had upper GI tests, but have been prescribed heartburn medicine.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Since your chest tightness is associated with eating, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, chest pain, mild breathlessness etc. Hiatus hernia can also cause HERD. But fir confirmation, you need to get done upper GI (gastrointestinal) copy. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food, avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole tablet on empty stomach. 4. Go for walking after meals. 5. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Get done upper GIs copy for the confirmation of hiatus hernia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.