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

### input:
I was brought to hospital because I has palpitations due to eating a lot of food in one go (I had indigestion) I had an EKG/ECG, and a blood test, and everything came out normal. Yet I have on and off slight chest pains. I went to another doctor, and they said that I have GERD (Gastroesophageal Reflux Disease) I feel also a weird feeling in the center of my breastbone that feels like the gas from my stomach is escaping. I also have difficulty breathing (like I feel like my stomach is causing it since I felt my stomach area and it was slightly hard, and that I cant take a full breath). I do however drink Herbal Tea at night to try to ease the gas, and it sort of helps.1 day ago - 1 week left to answer.Additional DetailsI also have a very slight arm pain (in both left and right side, but sometimes in the left side, and sometimes in the right side)1 day agoThe difficulty breathing isnt bad during the day, but it intensifies at night. However, I feel no pressure behind my breastbone.1 day agoI also always keep burping a lot, and I find that I need to yawn to be able to catch my breath.

### output:

Hello, Your symptoms are highly suggestive of gastroesophageal reflux disease (HERD). HERD may mimic anginal pain or chest pain in which gastric acid by elevating into esophagus causes irritation and esophageal muscle spasms. Or the acid may enter respiratory ways causing breathing difficulty or asthma-like symptoms, especially at night. The initial management of HERD is lifestyle modification along with medication therapy for 4 to 6 weeks. Lifestyle modifications help you to improve your condition which includes dietary modifications such as avoiding foods that increase stomach acidifies such as alcohol, nicotine, caffeine, chocolate, or any spicy food, avoid eating within 3 hours of bedtime. Sleep in a bed with a pillow elevating your head 6 to 8 inches to avoid nighttime to breathing difficulty. Try to lose weight if you are overweight. Medication therapy includes proton pump inhibitors (omeprazole, lansoprazole) which reduces stomach acid levels. Lifestyle modifications and medication therapy should be continued for 4 to 6 weeks. After 4-6 weeks you should be re-evaluated. Hope I have answered your query. Let me know if I can assist you further.