Conversation: The conversation between human and AI assistant.
[|Human|] My husband had a quadruple bypass 5 months ago and has done well. However over the last month he seems to have problems with his stomach and feels likes his chest caves in . Especially when walking. What is cause. He has been to the hospital and stress tests and the results and ECC are ok.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion he is having HERD (Castro Esophageal Reflux Disease). 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 the symptoms. Any thoracic surgery can damage the sphincter and makes it more lax. So better to follow this treatment for better symptomatic control in HERD.1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Keep 2 - 3 pillows under head in the bed. 6. Go for walk after meals.