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

### input:
Hi, I am a 29 yr old female with trouble breathing. Specifically, it is painful to take deep breaths, and its not satisfying when I do. I also experience heart palpitations occasionally, but went to a heart specialist and they determined I have no heart problems. I was prescribed Prilosec by my doctor and it helped for a while, but now the chest pain is back again. I am not sure at this point if this is a gastrointestinal issue, or a lung problem. What do you think?

### output:

Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) related symptoms. You are improved with Prilosec (pantoprazole). This also favors HERD more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain, palpitations, burping, belching, chest tightness etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take Prilosec (pantoprazole) twice daily on empty stomach. 4. Go for walking after meals. 5. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.