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

### input:
hello my question is I have pain in the center of my chest only hurts when I take deep breaths or if I tried to walk really fast I have acid reflexI take two nexium Z I pray Allah sac this that doesn t go away I drink alka seltzerand if you had just from the Lord to an upper GI and they tell me I have nothing everything is normal how can you be online when I lay down so it reflects from the job wake up choking so so I sleep on the reclinerif you no want to go to the hospital again because they always treat me is I m having a heart attack on that I am NOT have a heart again but there again they don t listen to me could you please help me I m really stressing out about this thank you. Blanca dayss

### output:

Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your cardiac issues have been ruled out, I think you are having HERD (Castro Esophageal Reflux Disease) mostly as a cause for your symptoms. 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. Try 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 anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Lose weight if you are obese.