Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor, good evening. how are you tonight? I am Belinda from Rochester, NY. I ve been experiencing some chest pain, in the middle. esp. when I cough. having a little bit of dizziness and shortness of breath when taking a plight of steps. However, I do some plank challenge exercise at home and tried to go to the gym for Zumba, yoga and one time lately bootcamp. I have a history of chest pain but they released me bec. during that time I was taking an herb tea diet which affected my pancreas; that was their findings. Just noticed lately that again having symptoms of pain in my center chest. What could this be? I am taking low dose losartan pills and levothyroxine for the thyroid destructed already. i am overweight and obese bec of my height?
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro esophageal reflux disease) mostly. But since you are hypertensive we need to rule out cardiac cause first. So get done ECG and 2D echo to rule out cardiac cause. If both of these are normal than you may have HERD only. Try to follow these for better control of HERD.1. Avoid hot and spicy food.2. Avoid large meals, instead take frequent small meals.3. Avoid stress and anxiety. 4. Loose some weight.5. Take proton pump inhibitors. 6. Go for walk after meals.7. Keep 2-3 pillows under head in bed.8. Quit habits if you have any.