Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor, i am having a serious problem which includes gas getting stuck in my chest and i feel better after i burp but the problem is i do not get burps so easily, also i tend to puke when this happens and then i feel relieved . this is happening since the past 9 months and i am worried. recently i am experiencing chest pain as well. i am under depression since then, this does not end here as my weight is 130 kgs along with diabetes and blood pressure issues. i need a cure please help.
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). But better to rule out cardiac cause first for your chest pain as you are obese, diabetic and hypertensive. So get done ECG and 2d echo to rule out cardiac cause. If these are normal then no need to worry much for cardiac cause. You are having HERD mostly. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause gaseous feeling, burping and burning chest pain. And depression and obesity worsen the HERD. So better to follow these steps. 1. Avoid hot and spicy food, stress and anxiety. 2. Avoid large meals, instead take frequent small meals. 3. Start Proton pump inhibitors. 4. Go for walk after meals. Lose weight by exercise and dieting. 5. Consult psychiatrist and start appropriate treatment for depression.