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

### input:
halo , am lakshmanan, 36 yrs old. 80 kg, 175 cm.   i had treatment for ulcer in 1998, and subsequently it stopped within 3 months after taking hp kit. In 1994 ,   i had sinus.  took medication for the same and the problem stopped. I am not a frequent smoker.  i smoke only two cigarretes daily. Now recently three years back, i had achalasia cardia, for which i had dlation, three times. but then and there  am getting chest pain that starts from the right ear and ends near chest. related to a.cardia. why? and what is the future course of action .   ,

### output:

DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorACHALASIA CARDIAC IS IMMOBILITY OF YOUR LOWER ESOPHAGEAL SPHINCTER THAT CAN BE CAUSED BY SMOKING AND MAY BE ASSOCIATED WITH FUTURE RISK OF CANCER MOST IMPORTANT PART IS YOU QUIT SMOKING THAT WILL SURELY HELP SOLVE YOUR PROBLEM SUGGEST YOU THE FOLLOWING1) AVOID SPICY FOOD AND HOT PREPARATIONS LIKE TEA AND COFFEE.2) USE LEAST 2 CUSHIONS AT BED TIME THAT WILL HELP YOU TO REDUCE THE REFLUX3) AVOID SLEEPING WITHIN 2 HRS OF FOODS REFLUX CAN ADDITIONAL EXACERBATE YOUR CONDITIONHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS