Conversation: The conversation between human and AI assistant.
[|Human|] I have been experiencing chest pains, shortness of breath and fatigue throughout the week. I went to my pcp dr and she sent me to the ER. I had an EKG, chest xray and a CT. All came back negative for heart or lung issues. Dr diagnosed it as inflammation of the chest wall. I ve noticed that I keep burping and the pain occurs after a belch, even if I just drank water. Is this an important symptom that I need to share with my pcp since I m still having chest pains?
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease). Your symptoms of burping and belching are suggestive of HERD. Your cardiac and respiratory work up is also normal, so HERD is more likely in your case. GERD is due to laxity of the Gastroesophageal sphincter. Due to this acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these for HERD.1. Avoid hot and spicy food.2. Avoid large meals, instead take frequent small meals.3. Avoid stress and anxiety. 4. Take proton pump inhibitors. 5. Go for walk after meals.6. Keep 2-3 pillows under your head in bed.