Conversation: The conversation between human and AI assistant.
[|Human|] Good day, doctor! what are the possible causes or effects of the feeling, tightening of the heart, especially when he is tired. He is 31 yrs. old and work as a machine operator in a factory in a night shift for several months now. Most of his diet includes meat and fatty foods and he smokes and consume coffee a lot. May you entertain my query. Thank you, more power to heal!
[|AI|]  Hi, There are two common reasons, one is gastritis and acidity problem. Does this heaviness occur on heavy activities and subsides with rest, if yes then its likely cardiac. Is it associated upper abdominal pain, nausea feeling, sour water feeling in throat, increases after food etc. then it's likely a gastritis and acidity. Still during heaviness if you are able to get ECG done then it would be better. Till the time, maintain healthy lifestyle, avoid fatty, oily food. Avoid smoking, alcohol. Get one lipid profile, sugars test done. You can try pantoprazole before breakfast. Hope I have answered your query. Let me know if I can assist you further.