<s>[INST] I am 32, 165lbs and I have barrots esophagus. I have these (what I call) episodes where for several days I feel like I am having a heart attack, pain under left breast, pressure, feel like I cannot breathe. I have had numerous tests done on my heart and they say it is fine. I do have tachycardia where my heart will sometimes race up to 128 or so, but have been on metoprolol for that for 1 1/2 years, but drs say it is nothing to worry about and that it is not related. When I have these episodes I can barely stand it. It feels like there is something so wrong with my body and I feel so bad, but I have no options. It will come on with no warning, whether I have cheated food wise or if I have been following the diet of no red sauce, no fried foods, no carbonation, no caffeine, nothing spicy. These episodes will last for days and I feel so miserable. Is there anything I can do? I am desperate! I am working out regularly to try to loose weight and have lost 15 pounds and I am on daily prescription prevacid.Thank you! [/INST] Hi, It mostly an acidity and reflux disease. You can add tab Risperidone which is prokinetic Chat Doctor.  Otherwise, continue to avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. Hope I have answered your query. Let me know if I can assist you further.  </s>