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

### input:
HiI am suffering some left upper chest discomfortableThe problem is more serious after 3 or 4 hours from taking foodSo some thing that always try to come in up in left chest in form of sounding"burbur"so pls suggest some thingThe problem is about 2 and 1/2 yearsand still it is very much problematicI have shown one cardiologist.He suggested me to go to an gasteroentrologist.I have also shown him.But nothing got.I have done "Endoscopy and colonoscopy"nothing foundThen upper ultrasonography.Get some relief after taking food.That is Ihave been doing last years.I think below the left chest some vacuum place always form.And from there one form gas try to come upper through the left side of the chest.please suggest something.

### output:

Hello, Most probably a Gastroesophageal reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, sour water feeling in throat or chest burning, these are the other symptoms and may be associated?  You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Elevate head end of the bed or use pillows during sleep or rest.  You should get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts.