Conversation: The conversation between human and AI assistant.
[|Human|] I have had this nagging dull pain between the top of my rib cage but below the sterum. I become nauseated and feel like I need to throw up, but I don t. For the past two days, I have notice a dull pain or ache in my chest area...right between my breasts. Should I be concern about my heart or lungs or both. I have also experienced an aching in my lower left side that radiates to the lower left side of my back. Please tell me what to do. Thank-you in advance.
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). But better to rule out cardiac cause first for your left sided chest pain. So get done ECG. If ECG is normal then HERD is the cause. 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 symptoms like nausea, pain etc. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux.