Conversation: The conversation between human and AI assistant.
[|Human|] I have been diagnosed with a wandering pacemaker..... i am 44 years old just recently quit smoking actually 8 days ago... i exercise regularly but still am concerned about fullness in the chest and sometimes chest pains... i also tested positive for Hplioria Bacteria..... and I have low blood pressure, my doctor says not worried about heart problems.... I still am not sure... What do you think?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, your chest fullness is mostly due to HERD (gastroesophageal reflux disease) because you are smoker and tested positive for H. Pylori. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, fullness, heaviness etc. So better to take treatment for H. Pylori. 14-21 days of course of amoxicillin, Clarithomycin and pantoprazole is needed. Along with this, you need to follow these lifestyle modifications for better symptomatic relief. Avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Keep 2 - 3 pillows under head in the bed to prevent reflux. Don't worry, with all these you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.