Conversation: The conversation between human and AI assistant.
[|Human|] Hi am a 21 year old female Ive been having a on and off pain ontop of my chest in the middle under my breast Ive had this pain before when I was like 15 but doctors couldnt find anything and now the pain is back it feels like Ive been punched and I have to curl into a ball so it wont hurt as much... Any ideas???
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Ideally ECG and 2d echo should be done first in your case. If both are normal than no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. 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 central chest pain and nausea. You are taking proton pump inhibitors (Pepcid). But along with Chat Doctor.  Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.