Conversation: The conversation between human and AI assistant.
[|Human|] hi I m a 22 year old male who is suffering with trapped chest wind and slow burping helps,I swallow air to try and relieve it but often it makes it worse,especially while training,I ve left coffee as well as smoking,nothing seems to be working,I had an endoscopy performed and everything was clear,every night I have these heart pressing pains,feeling like a heart attack a night,my gp performed a few tests to see if it was my heart,but saw my heart was strong,hours after eating it can strike and has no set time,although worse at bed time,doctor already gave me 3 sets of adco controment (10 in each pack 3 times a day before meals) with no success,I do body building so I am fit and active,I don t drink alcohol.I also get a pain under my breast bone as well but as the endoscopy proved I have no ulcer problems,I feel it could be trapped wind there too,earlier on while gyming I had a pain in the upper sternum(where the collar bone meets)with swelling,could it be an injury that caused the trapped wind saga,its been this way for over a month,first episode landed me in the er,for heart attack,the pains aren t that bad anymore,I used to have heart burn but after my omeprazole 20 use that went away,everything is fine except the winds!are there any suggestions from you!thanking you
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this gas from the stomach tends to come up in the esophagus and cause the symptoms. And you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. Be relax and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Start omeprazole. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright with all these changes in lifestyle. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.