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

### input:
My heart rate is normally 95 - 100 bpm. Lately it has been running around 65 to 85 bpm. I have had severe acid reflux. In fact all I have to do is burp or lay down and stomach contents, be it acid or food, come up into my mouth. Tonight around 4 am, I woke up and its hard to breath. I keep getting acid coming up into my mouth and my heart rate is around 65 bpm. Even though Im scared it is not really increasing. I dont know if its related but my knee is shooting pain.

### output:

Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* Usually acid reflux is not directly related to heart rate alterations unless associated with stress, anxiety underlying.* Guidelines for better recovery-Onetime physician consultation with EKG check up.- Upper GI endoscopy examination to evaluate for the underlying ulcer, HERD, Hiatus hernia or other conditions.- Chat Doctor. - Prefer soft, light diet at intervals.- Avoid oily, spicy, non veg, hot beverages, junk foods, dairy fat.- Avoid over eating, prolong fasting.- Do regular walking in fresh air, exercises, YOGA-Keep stomach empty by 25 % level of satiety.- Avoid going to bed for 2 hours after major meals.- Avoid stress, anxiety.- Manage sound, regular sleep of 8 hours.- No smoking or alcohol if using.- Keep the head end of the bed elevated for 30 degrees when doing rest.- Regular intake of proton pump inhibitor as omeprazole or pantoprazole on empty stomach. Hope this will help you for sure. Wishing you fine health ahead. Regards dear take care.