### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I get mild chest pains in the left of my upper body from the middle of my chest to under my arm pit where I experience constant discomfort. Sometimes it feels like heart burn whereas other times my chest feels tight and constricted. The symptoms vary with intensity throughout an average day but they are worse after drinking alcohol. My doctor has prescribed me a few different medicines related to heart burn which as yet have all failed to remedy my symptoms. Any help, small or large would be much appreciated, Thanks and kind regards C Rutter

### output:

Hi and thank you for choosing Chat Doctor to share your concern. I read carefully your question and I agree that this kind of chest pain has the characteristics of a chest pain related to Gastroesophageal reflux and the times your chest feels constricted and tight it relates to epigastric spasms. It would be good to know what kind of medication and what dosage your doctor prescribed and understand why they didn't gave results on you. The treatment is based on lifestyle modification and control of gastric acid secretion through medical therapy with antacids such as Sanitizing, proton pomp inhibitor such as omeprazole and in extreme situation(which i don't think is your case)with corrective antireflux surgery. Lifestyle modification include :Elevate the head of bed Avoid eating for several hours before sleeping Reduce weight if you are overweightAvoid caffeine, nicotine,alcohol multiple small mealsSince the list of food and beverages is extensive it requires ti do a personal journal of dietary intake and symptoms. Hope my opinion is a help to you. Wish you good health Kind Regards Chat Doctor. 