Conversation: The conversation between human and AI assistant.
[|Human|] ok. A few days ago my right palm was very itchy, then my left, then the tops of my feet, etc. I noticed yesterday maybe a small bite, which went away, on my left arm. I have been going to the bathroom very often (#2). It feels like gas but it is not. This has occurred for a couple of days now. Last night after dinner my chest started to hurt. It is hard to explain - it was a pain from my heart - something like a panic attach. I breathed, tried not to think about it then it went away - it came back several more times during the nite. Trying to sleep the pain shifted from my left side to my right.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of stress, anxiety and panic attack related HERD is more. HERD 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 of left /right chest pain, chest tightness, burping etc. And all these, stress, anxiety and panic disorder are known to cause HERD. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic Chat Doctor.  For chest pain, take proton pump inhibitors and avoid hot and spicy food. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.