Conversation: The conversation between human and AI assistant.
[|Human|] Hello sir,i am 30 years old male,having feeling tightness in the middle if the chest and sometimes upper left side of the chest which radiates to left hand and upper back as well.i have done xray and ecg everythiinng normal.i am worried what would be the problem?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of stress related HERD (gastroesophageal reflux disease) is more in your case. Since your cardiac work up is normal, no need to worry about major cardiac diseases. Stress cause 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 central chest pain, tightness, heaviness, burping etc. So avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic Chat Doctor.  Don't worry, you will mostly improve with all this treatment. Hope I have solved your query. Wish you good health. Thanks.