<s>[INST] Hi im27 years old and hAve had heartburn for about ten years over the last 9months I occasionaly get some tightness in my chest and occasional pains in my throat I oftwn almost choke but I ican eat everything ive aalways ate no pain swallowing I need a drink to swallow alot of foods im scared of any throat cancers ive lost some weigjt but im not on a great schedule and only eat twice a day iwhats wrong with me [/INST] Thanks for your question on Chat Doctor. I can understand your concern. In my opinion we should first rule out any obstructive lesion in esophagus because you are having problem in swallowing solid food. So get done upper GI (gastrointestinal) copy. If it is normal then possibility of HERD is more. Upper GIs copy will also tell if HERD (gastroesophageal reflux disease) is present or not. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, chest tightness, throat pain etc. So we need to treat HERD to relieve your symptoms. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor.  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>