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

### input:
Im having a lot of gas, both ends started about a week ago.  Ive been takeing flax seed for about a year.  Ive been having some pain in my chest along with the gas.  Im also on meds for my heart.I tried a nitro, it didnt seem to do much other then put me in a daze for a min. or two.  I also have much pain in joints and I need a hip joint replacement.  I had trigger finger operations for all most all my fingers, had a joint taken out of my thumb, both knee replacement.  I ride a bike and try to get five miles in a day for excerise, easier then walking. thank you  P T

### output:

Respected user, hi I evaluated your query thoroughly.* This is in relation with intestinal motility disorder associated with variety of clinical conditions, chest pain may or may not be related with this.* Your case needs thorough clinical assessment in presence of many co morbid conditions and detailed evaluations for final judgement but still with this narration I recommend certain guidelines for you - take small amounts of light diet at regular intervals - diet should be balanced containing all nutrients with less of fat content-avoid oily / spicy / non-vegetarian stuffs / beverages / junk foods-chew your food thoroughly-avoid sleeping for 2 hours after meals - avoid smoking / alcohol / abuse substance use in any form - avoid painkillers till possible, if needed always take with Proton pump inhibitor-physical activity in form of body part movements (not bike riding) is must in form of light exercises, walking till possible, YOGA at home-avoid stress / anxiety - regular sound sleep of 6-7 hours - in our clinic we recommend certain motility related molecules for gut depending upon the clinical severity & supportive data of laboratory, ultrasound findings if any Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistRegards dear take care.