Conversation: The conversation between human and AI assistant.
[|Human|] I occasionally have pain in the middle of my chest that radiates up the right side of my neck. Its a kind of pressure pain. It usually goes away in a couple of minutes. I also have fibromyalgia. Im a 50 yr old female and Im also a smoker. No high blood pressure or cholesterol problems.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Since you are smoker, possibility of HERD (gastroesophageal reflux disease) is more. 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 the symptoms of Central chest pain, chest pressure, tightness etc. You are also having fibromyalgia. And for this you must be taking painkillers. These painkillers can also cause HERD. So avoid painkiller Chat Doctor.  Quit smoking as soon as possible. Start proton pump inhibitors. Avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.