Conversation: The conversation between human and AI assistant.
[|Human|] I have periodic upper left chest pains that are not severe and they go away on there own. The pain sometimes has a burning sensation and minor pressure. They may not return for hours , days, or weeks. Less often I will get a temporary pain on the side of my neck. Might I have some blockage or heart issues?
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac cause.  As chronic, dull aching pain can be due to angina also. So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. You may have HERD (Castro Esophageal Reflux Disease). As it can cause burning and pressure too. 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.