Conversation: The conversation between human and AI assistant.
[|Human|] I have Constant pain in center chest, has been for several months. Feels like behind the breastbone. Usually better in the morning, gets worse throughout the day. A strange sensation like rubbing near the top of a full deep breath, and also pain is worse with deep breath. Pressing hard on the area / rib cage can temporarily help to relieve the pain sometimes, or sometimes make it worse. If in the car and drive over bumps, can feel like a snagging feeling.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease). But better we should rule out cardiac and pulmonary causes. So get done ECG and chest x-ray, PUT (Pulmonary Function Test) to rule out these. If all these are negative than it must be HERD. It is due to laxity OG gastroesophageal sphincter. Due to this acid of the stomach tend to come up in the esophagus and cause symptoms.  So TTY to follow these for better control of HERD.1. Avoid hot and spicy 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. Quit any habit if you have like smoking and Chat Doctor.  8. Lose weight if you are obese.