Conversation: The conversation between human and AI assistant.
[|Human|] No one can diagnose this.   When I lean back in a chair or lie on back I get a weird vibration in left side of sternum at the end of a deep breath during inhalation.  All CT scans of chest and abdomin are normal.Symptoms worse after drinking alcohol.  I also have a dry cough.Any ideas?   Symptoms keep me from sleeping at night.  Symptoms are worse when I lay on left side.   Symptoms begin around a minute after laying down or leaning back.  They go away after I take a deep breath and return a minute later.   Very nervous about this.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) more. 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 similar symptoms. Alcohol, stress etc. are risk factors for HERD and both are present in your case. Reflux is more in supine position. This is the reason why you got more problems in lying down in night. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet on empty stomach. 5. Keep 2-3 pillows under head in the bed to prevent reflux. 6. Quit alcohol and smoking if you are smoker. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.