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

### input:
I have atrial fibrilation with tachycardia.  I had a cardiac ablation over a year ago.  I am currently taking DIgoxin Tykosin and Methoprolol.  Yesterday I was in rapid a fib but it settled down.  I also have a hiatal hernia, esophagitis, barretts espohagus and an ulcerated stomach.  this morning I am having gripping heart pain in middle of my chest along with a pain in right ear and a milder one in right jaw.  Should I be concerned?

### output:

Brief Answer:You should make an ECG and measure the digoxinemia levels in blood, to exclude heart as the origin of these symptoms. You should take a good treatment for esophagitis and gastric ulcer. Detailed Answer:Hello, Thank you for using Chat Doctor. The pain the way you prescribe it, looks more likely to originate from gastrointestinal system than from the heart. Even though, being diagnosed with atrial fibrillation and having experienced high heart rates, it would be more accurate to make an ECG, to exclude other pathological changes. The elevated digoxin levels in blood may for itself cause high heart rate and pain also. That's why an important evaluation in your case should be digoxinemia levels in blood. On the other hand, its needed an adequate treatment of esophagitis and gastric ulcer, which may have caused this sort of pain also. You should receive full dose of PPI Chat Doctor.  You should avoid spicy food, frighted food, sparkling, tomato, caffeine.  I would suggest you a strict follow-up by the gastroenterologist. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind 