Conversation: The conversation between human and AI assistant.
[|Human|] Hey recently my friend has had really sharp pains in his chest on the left side. He sometimes get these sharp pains in the middle of the night that wake him up out of sleep. He has had these symptoms this last week but other that he usually has chest pains all the time off and only recently has his chest swollen on the left side and he has also told me that it feels like the pain has kind of started to spread to his whole chest. What do you think he should do? Im really worried.
[|AI|]  Hello I need to know more about the symptoms, like precipitating factors, factors that increase pain etc. Mostly it's a gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any.  You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks.  Secondly does this pain increase on applying pressure over the area, if yes it could be Costco Chat Doctor.  Does this pain increase on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs NSAIDs treatment and evaluation. Hope this helps you and get back if you and get back if you have any other doubts.