<s>[INST] I have been having pain across my chest. It comes and gies, longest maybe a minute or so. I have also had a lot of flatulance over the last couple of days. No pain in my jaw or left arm. I am a 52 yr old woman, on meds for cholesterol, blood pressure and statin. All symptoms under control. I am at rest when this happens. [/INST] Thanks for your question on Chat Doctor. In my opinion you should be first investigated for cardiac cause. The risk factors for these in your case are1. Age more than 502. High cholesterole3. Known case of diabetes and hypertension. So please get done ECG and 2D ECHO to rule out cardiac causes. If these are normal than it must be HERD (Castro Esophageal Reflux Disease). Try to follow these for better control of HERD.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals.4. Start proton pump inhibitor.5. Go for walk after meals. </s>