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

### input:
I have been having symptoms of very mild chest pain. I am 23yr old female smoker. The left side of my neck has been very stiff and I have been getting shooting pains in my left elbow and what feels like some tingling in arm also. Chest pain is very mild not discomforting, but I can feel a throbbing pressure in the center of chest and it feels closer to the back... I have no health insurance so I cant exactly go to the doctor for advice.

### output:

Hello There are two problems in you, the one which you have pain in center of chest is probably an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie 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. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks.  Secondly, shooting pain and numbness in arm, it can be cervical pain, due to compression of nerves between spine. Does this pain increase on neck movement, is it associated with tingling, numbness in arm or any neck trauma, if yes then it supports the diagnosis. Then he'll need x cervical spine AP/ Lat view and further may need MRI. Till the time he can get tab erosion forte once a day prescribed from doctor which is a nerve vitamin.