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

### input:
I am 43 years old I have had pounding in my chest for several days and now today I am very tired and sick to my stomach I have hbp ans high cholesterol and have been taking meds for years this is really starting to worry me not sure what I should do.

### output:

Hello, This pounding sensation is most probably related to gastritis and reflux disease. However, get one ECG done during this pounding sensation, to rule out heart problem.  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 Pan DSR 40 mg before breakfast once a day for 2 weeks.  For your other problems, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then medicines needs to be hiked up for it. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. For cholesterol, you should be started on medicine like rosuvastatin 10 mg bedtime, you can get it prescribed from local doctor.