Conversation: The conversation between human and AI assistant.
[|Human|] I have been diagnosed with a hiatal hernia. Was not diagnosed with GERD. However, recently, I have been experiencing stingy pains in my chest. Not really heart burn in the traditional since, but I do tend to burp some. The stinging in the chest seems to be center and across at various times. I did have a bicycle wreck a few years ago and was told I sprained my sternum. Could what I am feeling be a combination of heart burn and something inflamatory?
[|AI|]  Thanks for your question on Chat Doctor. Hiatus hernia can be a cause for HERD. In hiatus hernia the gastroesophageal sphincter is displaced, and thus it looses its function. So gastric acid comes up in the esophagus and cause the symptoms. Try to follow these steps for better control.1. Avoid spicy and hot food.2. Avoid stress and anxiety. 3. Avoid large meals, instead take frequent small meals.4. Take proton pump inhibitors. 5. Go for walk after meals.6. Keep 2-3 pillows under head in bed.7. Surgical options for hiatus hernia if not controlled by above things.