<s>[INST] HI, I have constant chest pain, its a dull pain i have all the time, it sometimes feel like a squeeze feeling and other times dull, I have been having these pains for a couple of weeks, my gp puts it down to stress and then I went back as it got worst and then said it seems like a stomache ulcer but the medicine did not work, I also get dizzy at times [/INST] Your condition may be due to both Stress(Anxiety Disorder) and Stomach ulcer rather Acid Peptic Disorder with or without H. Pylori Infection. If you are not getting relief managing your Stress, You can try medications like Histamine 2 receptors antagonists - Cimetidine, Sanitizing, Famotidine can be given in divided doses. Or Proton pump inhibitor - Omeprazole, pantoprazole, and lansoprazole can be given in morning empty stomach. Anticholinergic Chat Doctor.  If no relief, H. pylori infection may be present, treatment is combinations of 2 antibiotics (e.g. Azithromycin, Amoxicillin, Tetracycline, Metronidazole) and 1 proton pump inhibitor (PPI), sometimes together with a bismutChatDoctorpound. In complicated, treatment-resistant cases, 3 antibiotics (e.g. amoxicillin + azithromycin + metronidazole) may be used together with a PPI and sometimes with bismutChatDoctorpound. An effective first-line therapy for uncomplicated cases would be Amoxicillin + Metronidazole + Pantoprazole (a PPI). In the absence of H. pylori, long-term higher dose PPI's are often used. More over habit of smoking or using any form of tobacco preparations, consumption of alcohol, tea, coffee, frequent use of analgesics for headache or body pain should be avoided. </s>