Conversation: The conversation between human and AI assistant.
[|Human|] I have been having chest pains in the middle of chest for about a week that come and go. It is different from when I had them with anxiety a few years ago. This time it would spread to face some and down right arm specifically. Today I turned to look out car window and my chest had gripping pain in the middle that took my breath. Tonight I have a lot of pressure in the center. I do have gerd controlled by 150 mg zantac am and pm
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of worsening of HERD (gastroesophageal reflux disease) is more. But better to rule out cardiac diseases first. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. You are mostly having stress and anxiety related worsening of HERD. It 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 Central chest pain, pressure etc. Along with Chat Doctor.  Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Avoid smoking and alcohol if you have these habits. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.