Conversation: The conversation between human and AI assistant.
[|Human|] for three months now i am woken up during the night with a heavy pain in the middle of my chest. it feels as if i have been lying face down with my fists in the middle of my chest. could this be possible. it never happens during the day. i am 55 and female
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. There are two possibilities for your central chest pain. 1. Cardiac chest pain due to angina or coronary artery disease (CAD). Heart diseases are common in post menopausal women. 2. HERD (gastroesophageal reflux disease). So better to get done ECG, 2d echo and stress test (trade mill test) to rule out heart diseases. If all these are normal then no need to worry about heart diseases. HERD can cause similar kind of chest pain. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor.  Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright, but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.