Conversation: The conversation between human and AI assistant.
[|Human|] hi i have a dull pain in the centre of my chest which is worse when i lie down or move about. it also pulsates with my heart beat and when my heart gives a big thud (beat) it hurts more, feel like there is a thump n my throat and chest, i had this about 5 yrs ago and tests came back with nothing. i have had it over 24 hrs now, could it been indigestion ?
[|AI|]  Hi, This looks like a gastritis and reflux disease. Still one ECG just to rule out heart disease, if you have any risk factors like elder, smoking, high BP, or cholesterol, then avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Also, avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. Hope I have answered your query. Let me know if I can assist you further.