<s>[INST] Good morning Doctor or Doctors. here the question..i am having this tight feeling in the middle of my Brest to my throat. am on meds. the only time i have been in the hospital was last oct. for a bleeding ulcer. and they also found i have pfo. not to worry about it..thank you connie [/INST] Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Acid reflux with HERD. Yours being Known Ulcer case, these complaints of tight feeling in chest and throat-indicates that that acid control treatment needs to be reviewed and changed under expert doctors advise. I would suggest you to have Second opinion from Third party Surgeon/ Physician and review acid controlling treatment which you are taking. Other causes for these complaints-like IBS and IBD/ anal ailments like fissure in ANO/ H. Pylori re-infection / inadequate PPI dosage / Improper diet style/ habits, need to be ruled out before planning any treatment in your case. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS </s>