Conversation: The conversation between human and AI assistant.
[|Human|] hi i have been having stitch type pain intermittently in my left chest area just below breast. i also have continual slight numbness in my left arm. sometimes slight pressure across my chest if i get a bit stressed. can you please advise if this is all stress related or should i be concerned about the short stabbing pains?
[|AI|]  Hello, Most probably 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, these are the other symptoms and may be associated?  You should avoid fatty, oily and spicy 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 or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Also, let me know if you have any risk factors for heart disease like age, smoking, family history obesity etc. Hope this helps you and get back if you have any doubts.