Conversation: The conversation between human and AI assistant.
[|Human|] diagnosed with hiatus hernia about 12 years ago. It never gave any trouble. From time to time I get full pain in the middle of the chest or if I am stressed. If I do a lot of bending and kneeling the pain increases and can last days. This has happened over the last two weeks. I have no other symptoms but at times I fear the pain is coming from my heart. I have an irregular heart beat which is being treated by my doctor over many years.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Your chest pain is mostly due to hiatus hernia, but we need to rule out cardiac cause first as you are having irregular heart beats. So consult cardiologist and get done1. ECG2. 2d echo3. Stress test to rule out cardiac causes. If all of the above are normal then mostly you are having pain due to hiatus hernia. Hiatus hernia is known risk factor for HERD (gastroesophageal reflux disease). And because of this the acid is going up in the esophagus and cause the symptoms of chest pain. So avoid hot and spicy food, avoid stress and tension. Avoid large meals, instead take frequent small meals. Start proton pump inhibitor. If not improving with above lifestyle modifications then you may need surgical correction of hiatus hernia.