Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor,I feel the burning sensation the entire day. And also every day early morning only, around 2 AM I started feeling terrible uneasiness over my upper abdomen near the center of the rib and that continues for at-least a couple of hours. I also feel an air pressure is pushing against my ribs from inside at that time. This is the case for past one week and that stage is totally unbearable. I couldnt lay down and also cant sit/walk during those hours. I dont know to clearly explain the problem, but this is how it feels. Kindly suggest doctor. Day by day this becomes severe.whatever, I sense it happens around the upper abdomen near the center of the rib. Thanks.Now as prescribed by a doctor I am taking below medicinesNEXPRO-L 40g (before breakfast)ZINETAC 300g (before dinner)NORFLOX - TZ (after dinner)SIBOFIX 400g (after dinner)Regards,Kasi H
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are characteristic of HERD (gastroesophageal reflux disease). But better to rule out cardiac cause first. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. You are having HERD. 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 the symptoms of central burning pain, gaseous feeling in chest and abdomen etc. So better to follow these lifestyle modifications along with Chat Doctor.  1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Avoid alcohol and smoking if you are having these habits. Don't worry, you will be alright.