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

### input:
Hi i am a 31 year old female my height is 5 4" and my weight is 158.  I have had severe left sided chest pain for going on almost six years now and i have tried it all.  I have had a full heart work up, countless x-rays, acupuncture, physical therapy, narcotic therapy, intercostal nerve block, radio frequency ablation, trial spinal cord stimulator and many other things but nothing has helped my symptoms or situation.   i also have some other medical issues i have GERD which i am on meds for, i have autonomic disorder, and had superior mensentary artery syndrome which i had surgery to correct.  My symptoms get worse when i lay down or when i swallow or eat anything especially when it is cold.  I have had two menomatries done to see if i had espohical spasms but i dont.  I just want my life back and anything you could suggest would be helpful because my doctors and advanced pain management locally dont know what else to do.  thank you

### output:

Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, your left sided chest pain is mostly due to HERD (gastroesophageal reflux disease) and this HERD is worsened by your stress and anxiety. So better to avoid stress and tension, be relaxed and calm. Along with Chat Doctor.  1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in the bed to prevent reflux. 6. Quit smoking and alcohol if you have these habits. 7. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.