Conversation: The conversation between human and AI assistant.
[|Human|] My name is Efrain, i have a question about something thats going on with me. I feel chest pains and at times i feel like something heavy is on my chest and i have vomiting and diaharea. I feel out of breath and my left arm goes numb and i feel pins and needles on my face and arm. What could this be?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related HERD (gastroesophageal reflux disease) is more. But better to get done ECG and 2d echo first today rule out heart diseases. If both these are normal then no need to worry about heart diseases. Stress and anxiety cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain, tightness, vomiting etc. So avoid stress and tension, be relaxed and calm down. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  For HERD, take pantoprazole and risperidone tablet on empty stomach. 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.