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

### input:
In Sept. 2012 I had chest pain, weakness, short of breath, and numbness in my left arm. I was checked at my local  ER. There was information that I was not informed about concerning my heart and cholesterol. I followed up with who is now my primary physician. Since all this began, I have been diagnosed with CAD, 40% blockage in a main artery, Asthma, Gerd, Sleep Apnea, Neuropathy legs and hands, and Restless leg syndrome. I have also undergone sinus surgery due to what has become a chronic fight with laryngitis. Both my ENT and I believe there is an underlying cause for the reoccurring sinus and throat infections. However, I have seen a rheumatologist and he believes it is a coincidence of events. I have had continuing pain and pressure in my chest. What could be a cause for these events or is all a coincidence?

### output:

Thanks for your question on Chat Doctor. I can understand your concern. Your chest pressure and pain is mostly due to HERD and asthma. Both of these conditions need to control simultaneously, to achieve symptomatic relief. Asthma can worsen HERD and HERD can worsen asthma. And both causes' chest pain and pressure. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors and prokinetic Chat Doctor.  4. Start inhaled bronchodilators and inhaled corticosteroid (ICS) for asthma. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. All these 