Conversation: The conversation between human and AI assistant.
[|Human|] I have herniated disks in my neck with spinal chord impingement, some stenosis etc.  I am considering laser type surgery.  I jave standard numbness, tingling and pain in arms BUT I also have a fluttering in left chest-- feels like heart but recent tests say thats ok.  The fluttering is like a twitching and dirves me crazy.  It gets worse when I try to lie down or sleep,  Also extreme pain periodicaly in upper mid back from back to front which closses off my esophigus.  It is usually broiught on suddenly with forward bending motion ( folding laundry, etc. )  What I need to know is if it is likely that the disk issues are causin g these other symtoms.   I have Ra and facet joint problems as well.   I have positive findings in nerve studdies.  I am concerned about the disk( laser)  surgery if it will not solve the fluttering and the esophageal spams.  The spasms are not really accompanies by reflux except after an attack.  IT IS MY ESOPHAGUS CLOSING.  I HAVE TO FORCE WATER DOWN  to resolve.  ( Also accolate helps)  Please advise Thanks
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think your disc and spine issues causing these symptoms. Your current symptoms are mostly due to HERD (gastroesophageal reflux disease). HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms chest pain, spasm, Fluttering feeling, belching, burping etc. So better to follow these steps for symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and tension, be relaxed and calm. 4. Take pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. 6. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.