Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have been having chest pains and have had the all clear with a Cardio Angiography procedure, an ultrasound of my heart and blood tests all fine. I seem to be getting a constant warm sensation through my sternum with some shooting pains on occasion on either side of my chest. Mylanta antacid has been tried and I am not sure if that helped at all. Could it be heartburn, an ulcer? What other possible aspects could it be. It does seem to be worse after eating or having a scotch and cola.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease) only. As your pain is getting worse by eating and Chat Doctor. 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. 8. Lose weight if you are obese. Since your cardiac work up is normal, I don't think of any other cause. It is HERD mostly.