Conversation: The conversation between human and AI assistant.
[|Human|] hello sir. my mother having bypass surgery recently three months ago is facing chest pain issue many times a day. sometimes light and sometimes strong .pain goes to neck n throat .gets easy on sitting sometimes .no sweating. did medicine echo and it is negative. cardio says its some gastric issue and suggests to get checked .she is having gas formation issue and diarrhea type stool in morning everyday. stomach remains hard n swallowed many times.suggest please to identify the reason of chest pain please .
[|AI|]  Thanks for your question on Chat Doctor. In my opinion your mother is having HERD (gastroesophageal reflux disease). Her all symptoms like chest pain, gaseous distention, worsened symptoms on lying down and better on sitting can be seen in HERD. And her cardiac work up is normal. So no need to worry much for cardiac cause. So HERD is more likely in her case. 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. So ask her 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 tension.4. Take good proton pump inhibitor. Also give ORS (oral rely Chat Doctor. 5. Go for walk after meals.6. Keep 2-3 pillows under head in bed to prevent reflux.