Conversation: The conversation between human and AI assistant.
[|Human|] I am a 39 yr old female, recently experienced a 10-12 minute period with extreme chest burning /tightening extending to both arms. I had just drank 2 margaritas. I also have GERD. Could this be related more to GERD or a sign of a potential heart attack. I am also about 50 lbs overweight.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion, your symptoms are related to HERD only. But better to rule out cardiac cause first. So get done ECG to rule out cardiac cause. If this is normal than most probably HERD is the cause. Try to follow these steps for better control of HERD.1. Avoid hot and spicy food.2. Avoid stress and anxiety. 3. Avoid large meals, instead take frequent small meals.4. Try to lose some weight as obesity causes relaxation of sphincter and more reflux.5. Take proton pump inhibitors. 6. Go for walk after meals 7. Keep 2-3 pillows under head in bed.