Conversation: The conversation between human and AI assistant.
[|Human|] no appetite and consistent nausea and fatigue for 3 weeks, with episodes of waves of central chest pain, near syncope, and extreme nausea. Not helped by 40mg Somac daily. Seems to be worse when at rest, lying down or lying back on couch - worse in evenings. Prior history of SVT but this does not feel like heard racing when I have the waves of near syncope. Have ulcerative colitis but this has been very well controlled (in remission) for over 1 year. All bloods normal.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. But because of your SVT (supra ventricular tachycardia) history, it is better to rule out cardiac cause first. So get done1. ECG2. 2 d photo rule out cardiac cause. If both are negative then no need to worry much for cardiac cause. Your symptoms are more suggestive of 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 like central chest pain and nausea. Along with Chat Doctor. 1. Avoid hot spot 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.Don't worry much, you will be alright.