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

### input:
Ive been havin slight sharp pains in the middle of my chest that goes straight down & spreads under my breast. When I go to lay down at night, It gets worse & then I get sick to my stomach & have to sleep sittin up because of it. I have no insurance & would like to know what I need to do. See my Regular Dr. or go the ER?! Can you give me some answers please?!

### output:

Thanks for your question on Chat Doctor. I can understand your concern. Central chest pain more on lying down is mostly due to HERD (gastroesophageal reflux disease). HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain, burning stomach pain, belching etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet on empty stomach. 5. Keep 2-3 pillows under head in the bed to prevent reflux. 6. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these in 1-2 weeks. If not improving then consult your doctor and get done ECG to rule out heart diseases. At present, no need to good for emergency room. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.