Conversation: The conversation between human and AI assistant.
[|Human|] stabbing pain in middle of chest. I have GERD, but this is a new symptom, that seems to come everytime I do some extensive physical labor, i.e. shoveling heavy snow. Pain seems to be in sternum and bones around out very sensitive for a few days afterwards.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. GERD (gastroesophageal reflux disease) can cause similar kind of Central chest pain. But since your chest pain is associated with exertion (cleaning snow), we should first rule out heart diseases for your chest pain. So get done ECG and 2d echo first. If both are normal then no need to worry about heart diseases. HERD is the likely cause for your symptoms. So avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor.  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.