Conversation: The conversation between human and AI assistant.
[|Human|] Been having left side chest pain for over a year. Pain gets worse when laying on my stomach and subsides when standing. Pain  will last anywhere between 3 min and 10 hours. Had an EKG, heart ultrasound and holter monitor with no signs of heart issues. Tried many antacids with no response to them. Pain is not influenced with exercise. Have mad multiple blood tests all showing normal. Forcing gas out as what feels like an inside burp seems to relieve some of the pain.Pushing on my left rib cage and breast also seem to help.
[|AI|]  Hello dear, thanks for your question on Chat Doctor. Since your extensive cardiac work up is normal, no need to worry about cardiac cause. In my opinion you are having HERD (gastroesophageal reflux disease). 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. Along with antacids, you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Avoid alcohol and smoking if you have these habits. 7. Lose weight if you are obese. Don't worry, you will be alright.