Conversation: The conversation between human and AI assistant.
[|Human|] i have a pain on the left part of my ribs and i dont know the curse some times it makes me feel so cold and i cant stay in a room where an airconditon is put on is and it makes a lot of noise as if thire ar too many gases in my stomach some times i have to press my ribes so hard just to relive the pain what culd this possiblly mean ?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) 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 symptoms of gaseous distention of stomach, chest pain, chest tightness, pressure etc. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid stress and tension, be relaxed and calm. 3. Take pantoprazole and levosulperide combination on empty stomach. 4. Avoid large meals, instead take frequent small meals. 5. Lose weight if you are obese. 6. Quit smoking and Alcohol if you are having these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.