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

### input:
I started having pain at top of stomach about 3 weeks ago.  Some days worse some days better.  Last night I woke up to numbness and tingling in left arm.  It got a little better this morning.  This afternoon after lunch - arm went dead and "heartburn" worsened.    I started back on the treadmill yesterday after being off of it for 2 weeks.  Is this something to worry about?

### output:

Hello there!  I read your query and I feel like you need to visit ER as these heart burns associated with limb numbness may present the basal aspects of cardiac MI. Once that is ruled out all you would need will be some good care of your heart burn and reflux. Which a good lifestyle and diet modifications would be enough to provide relief. But before that you need to rule out cardiac involvement. EKG would be a good start. After clearing that doubt follow below-mentioned tips to help your disturbed tummy1.lose weight (if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight. 2. Avoid alcohol, chocolate, citrus based fruits, tomato based products3.avoid pepper mint coffee and possibly the onion family4.eat small frequent meals rather than large meals.5.wait at least 3 hours after the meal to lie down or sleep.6.refrain from ingesting food (except liquids) with in 3 hours of bedtime.7.elevate the head of your bed at least 8 inches8.avoid bending or stooping positions9.don't use nsaids10.don't smoke11. Have a proper sleep routine12. Use cold milk as Chat Doctor.  Take care regards