Conversation: The conversation between human and AI assistant.
[|Human|] for approx. 4or5 days iam having pain qiuite frequently up under my left breast toward thhe middle of chest hard to describe the pain but is quite severe at times it is directly under my breast when I touch the area from outside feels like a painful bruise going to er is not an option at this time
[|AI|]  Thanks for your question on Chat Doctor. Ideally we should rule out cardiac cause first for your chest pain.  But you don't have an option for ER visit, ECG can not be possible. I think it is HERD (Castro Esophageal Reflux Disease).  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 the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Lose weight if you are obese.