Conversation: The conversation between human and AI assistant.
[|Human|] I woke up early this morning with sharp chest pain ,it was so bad it hurt and I used inhaler to help. I also took a Motrin and layed back down. All day it s been a dull achy feeling in my chest . Also bloating in my abdomen and a little sore when I get up. I had my appendix out few weeks ago ,but this is different feeling ,I m also waiting to be seen for a positive rnp test ,I dint know if this pain has something to do with my mixed connective tissue disease.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion you are having mostly HERD (gastroesophageal reflux disease), but better to rule out cardiac cause first for your symptoms. So get done ECG and 2d echo to rule out cardiac cause. If both are normal then no need to worry much for cardiac cause. It seems HERD more. Gaseous distension is also seen on HERD, and this is giving you bloating feeling of abdomen. GERD is because of laxity of gastroesophageal sphincter. Due to this the acid of the stomach, tends to come up in the esophagus and cause the symptoms of dull aching, burning central chest pain. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid stress and anxiety.2. Avoid large meals, instead take frequent small meals.3. Start proton pump inhibitor.4. Go for walk after meals.5. Keep 2-3 pillows under your head in bed.