<s>[INST] Hi doc. I have been having discomfort in my stomach and chest area for a few days now. Cant really discribe it other than something sitting in the center of my stomach and almost a shortness of breathe feeling especially when walking or moving about. I was planning on seeing my PCP tomorrow but should I go to a specialist (cardiologist or Gastro)? YYYY@YYYY [/INST] Hi welcome to the Chat Doctor You are having gastric discomfort and center region chest pain as per history So it suggests towards gastric problem induced chest discomfort For gastritis or ulcer pantoprazole can be prescribed for two weeks But here one problem that you have mentioned is dyspnea which needs detailed evaluation Sometime excess stress can lead anxiety and panic attack induce dyspnea. If acid reflux present then Hiatus hernia should rule out as it can lead pressure induced dyspnea by dilated esophagus Chest x-ray also needs to be done Take care Hope your concern solved Consult gastroenterologist or physician for examination and further work up accordingly </s>