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

### input:
I am 56, Female, weigh 132 pounds, work out every day. I am experiencing heart palpitations, sour taste in my mouth, belching, chest pains. I have been experiencing symptoms for about 4-5 weeks now. Had an EKG a few weeks ago. Results normal. Had been taking 40mg Nexium for about10 years. Gradually switched to Zantac, but for past 2 days have started taking Nexium again. Have been experiencing stress and anxiety for 2 months, exacerbated by worry about what is wrong with me. Most worrisome symptom is heart palpitations whicChatDoctore and go throughout the day. Had blood work done today but don t have the results yet. Any advice, especially regarding palpitations?

### output:

Hello, Most probably it's due to gastritis and reflux disease. Palpitations can also be due to this especially if your cardiac work up is negative. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated?  You should avoid fatty, oily and spicy 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 Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts.